Injection Site Irritation
Conditions
Keywords
esmolol, injection pain, lidocaine, rocuronium
Brief summary
90 American society of anesthesiology (ASA) physical status I and II patients undergoing general anesthesia for elective surgery will be included in the study. Patients will be randomized into three groups. Group E will receive esmolol (1 mg/kg), Group IL lidocaine (0.5 mg/kg)and Group C placebo(NaCl 0.9%, 5 mL), followed by a 0.05 mg/kg rocuronium. After intravenous induction with propofol, adequate muscle relaxation for intubation will be received by 0.5 mg/kg rocuronium.
Detailed description
Patients will be observed after injection of rocuronium 0.05mg/kg, then immediately asked if they have pain in the arm. The response are assessed; discomfort, pain, and withdrawal of the hand are recorded and graded using a 4-point scale (none, mild, moderate, or severe). After the intubating dose of rocuronium, withdrawal reactions are scored as follows: (a) no pain response, (b)pain limited to the wrist, (c) pain limited to the elbow/shoulder, or (d) generalized pain response.
Interventions
Group L lidocaine (0.5 mg/kg), (rocuronium) (0.05mg/kg).
Group E: esmolol (1 mg/kg), (rocuronium) (0.05mg/kg)
0.05 mg/kg rocuronium
Group C: Placebo (NaCl 0.9%, 5 ml), (rocuronium) (0.05mg/kg)
Sponsors
Study design
Eligibility
Inclusion criteria
* ASA physical status I and II patients * Undergoing general anesthesia for elective surgery
Exclusion criteria
* Known allergy to esmolol or lidocaine * Chronic pain * Pregnancy * Withdrawal of consent by the patient
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The injection pain due to rocuronium | 1 month | Pain will be recorded and graded using a 4-point scale (none, mild, moderate, or severe). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Score on pain due to injection of rocuronium | 1 month | Withdrawal reactions are scored as follows: (a) no pain response, (b)pain limited to the wrist, (c) pain limited to the elbow/shoulder, or (d) generalized pain response. |
Other
| Measure | Time frame |
|---|---|
| To assess patient satisfaction | 1 Month |
Countries
Turkey (Türkiye)