Large vein injection alleviates rocuronium-induced pain in gynaecologic patients

Abstract Background Rocuronium-induced pain upon injection is very common in the clinical setting. Using the antecubital rather than the hand vein can avoid pain due to propofol injection. We aimed to investigate whether the use of the antecubital vein for injection would alleviate rocuronium-induce...

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Bibliographic Details
Published in:Anaesthesia critical care & pain medicine 2017-08, Vol.36 (4), p.233-235
Main Authors: Zhang, Xing-Mei, Wang, Qun, Wang, Wei-Si, Wang, Meng
Format: Article
Language:English
Subjects:
Adult
Aged
Androstanols - administration & dosage
Androstanols - adverse effects
Anesthesia & Perioperative Care
Anesthesia, General
Female
Gynecologic Surgical Procedures - methods
Humans
Incidence
Injections, Intravenous - adverse effects
Injections, Intravenous - methods
Laparoscopy
Middle Aged
Neuromuscular Nondepolarizing Agents - administration & dosage
Neuromuscular Nondepolarizing Agents - adverse effects
Pain - epidemiology
Pain - etiology
Pain - prevention & control
Pain Measurement
Pain on injection
Rocuronium
Vein interior diameter
Veins
Young Adult
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Summary:Abstract Background Rocuronium-induced pain upon injection is very common in the clinical setting. Using the antecubital rather than the hand vein can avoid pain due to propofol injection. We aimed to investigate whether the use of the antecubital vein for injection would alleviate rocuronium-induced pain in a similar fashion. Methods Sixty patients (ASA classes I and II) scheduled for gynaecologic laparoscopy were randomised into two groups. Rocuronium (0.6 mg/kg) was injected either into the vein on the dorsum of the hand (group D) or a large vein in the antecubital fossa (group A). Pain was assessed and recorded using a four-point scale. Results Compared with group D, the incidence of pain and severe pain was lower in group A patients. The rate of no pain was also higher in group A patients. Conclusion The incidence and severity of rocuronium-induced injection pain were significantly alleviated via use of a large vein for rocuronium injection.
ISSN:2352-5568
2352-5568
DOI:10.1016/j.accpm.2016.03.010