A Comparative Study of Lignocaine, Pethidine, Ketamine and Placebo for Prevention of Pain on Propofol Injection

2021 ◽  
Vol 12 (6) ◽  
pp. 29-33
Author(s):  
Shagufta Naaz ◽  
Erum Ozair ◽  
Adil Asghar
Keyword(s):  
Saline Group ◽  
Good Choice ◽  
The Other ◽  
Double Blind ◽  
Pain Scores ◽  
Hepatic Diseases ◽  
Reduction Of Pain ◽  
Group A ◽  
The Difference ◽  
Group B

Background: Pain caused by propofol injection is a common occurrence. Aims and Objectives: The aim of this study was to compare and evaluate the efficacy of three drugs, lignocaine, pethidine and ketamine for prevention of pain during propofol injection. Materials and Methods: This double blind, placebo-controlled, parallel multi-arm study was done after written informed consent and ethics clearance. Hundred patients of ASA I and II, 18-65 years of age, and with body mass index 18-30 kg/m2 were included. Exclusion criteria were significant cardiovascular or hepatic diseases, renal insufficiency, and a history of allergy to the study drugs. Group A (Normal Saline), Group B (Ketamine 25 mg), Group C (Lignocaine 20 mg) and Group D (Pethidine 25 mg) were pre-treated with 2 ml of the study agents before propofol injection. The primary outcome was the incidence of pain with propofol injection and the secondary outcomes were the induction time, pain scores at various time intervals, the incidence of recall of pain after surgery, haemodynamic changes and adverse effects. Results: There were highly significant differences (p<0.001) in the incidences of pain during propofol injection in group A and the other three groups. The difference in incidence of pain was also significant between Group C and other groups. The differences in the pain scores (p<0.001) and recall of pain (p<0.05) between group A and the other three groups were significant. Conclusion: Lidocaine may be considered as a good choice for the purpose of reduction of pain during propofol injection.

scholarly journals PROPOFOL INDUCED PAIN;

2008 ◽  
Vol 15 (02) ◽  
pp. 205-210
Author(s):  
ABDUL HAMEED CHOHEDR ◽  
M. MASJEDI ◽  
M. SEYEDI
Keyword(s):  
Normal Saline ◽  
Saline Group ◽  
University Hospital ◽  
Double Blind ◽  
Lidocaine Group ◽  
Hospital Department ◽  
Blinded Observer ◽  
Reduction Of Pain ◽  
Group A ◽  
Group B

Introduction: Propofol causes pain on injection in 28% - 90% ofpatients. A number of techniques have been tried for minimizing propofol-induced pain with variable results.Objectives:To compare the use of premixed lidocaine-propofol with metoclopramide pretreatment for the reduction of pain duringinjection of propofol in adult patients. Design: A prospective, double blind, randomized, placebo-controlled study.Setting: Shiraz University Hospital, Department of Anesthesiology, Shiraz, Iran. Period: From Jan 2007 to Dec 2007.Materials & Methods: 202 subjects (ASA I-II) scheduled for elective operations under general anesthesia wereallocated into three groups and treated as follows: Group A: 20 ml propofol mixed with 20mg lidocaine %1 following 2mlnormal saline; Group B: 20 ml propofol mixed with 2ml normal saline following 5 mg metoclopramide; Group C (controlgroup): 20 ml propofol mixed with 2 ml normal saline following 2 ml normal saline. Pain intensity was graded by a single,blinded observer and recorded as either severe, moderate, mild or no pain according to the response of the patientsto the injection. Results: The incidence of pain was 72% in placebo group compared to 58.7% in the metoclopramideand 28.8% in the lidocaine group. Conclusion: Propofol-lidocaine admixture is more effective than metoclopramidepre treatment in decreasing the pain of propofol injection.

scholarly journals Comparative Evaluation of Tramadol Wound Infiltration over Bupivacaine for Postoperative Analgesia in Children Undergoing Inguinal Herniotomy and Orchidopexy

JMS SKIMS ◽  
2011 ◽  
Vol 14 (2) ◽  
pp. 52-55
Author(s):  
Abdul Qayoom Lone ◽  
Nazia Nazir ◽  
Shehnaz Gilani ◽  
Mohammad Ommid ◽  
Showkat H Nengroo ◽  
...  
Keyword(s):  
Saline Group ◽  
Good Choice ◽  
Controlled Study ◽  
Wound Infiltration ◽  
Rescue Analgesia ◽  
Post Operative Pain ◽  
Elective Repair ◽  
Group A ◽  
Group B ◽  
Inguinal Herniotomy

BACKGROUND: Recent clinical studies have demonstrated that children experience a similar severity of post operative pain as adults and that even preterm infants demonstrate alterations in heart rate, blood pressure and oxygen saturation in response to pain. OBJECTIVE: To study the advantage of tramadol wound infiltration over bupivacaine on post operative pain relief in children following inguinal herniotomy and orchiodopexy METHODS: In this prospective single blinded randomized controlled study, 705 children aged between 1–7 years undergoing elective repair of unilateral inguinal hernia and orchiodopexy were randomly divided into 3 groups of 25 each. Group A (Tramadol) à wound infiltration with 2mg/Kg Tramadol in 0.2ml/Kg saline, Group B (Bupivacaine) à wound infiltration with 0.2ml/Kg of 0.25% of Bupivacaine and Group C (Tramadol i/m) à 2mg/Kg tramadol intra muscularly 20 minutes before the end of surgery. Children were assessed post-anesthesia for pain score and discharged from Post Anesthesia Care Unit when they achieved a score of 10. RESULTS: Group A had lower pain scores than group B and C for the first 24 hours in the postoperative period. The other two parameters pulse rate and respiratory rate were also lower in group A. Moreover use of rescue analgesia was significantly lower in group A. CONCLUSION: Wound infiltration with tramadol is a good choice for post operative analgesia in children undergoing inguinal herniotomy and orchidopexy. JMS 2011;14(2):52-55

scholarly journals Complementary Therapies for Idiopathic Hirsutism: Topical Licorice as Promising Option

2015 ◽  
Vol 2015 ◽  
pp. 1-6 ◽  
Author(s):  
Gita Faghihi ◽  
Fariba Iraji ◽  
Bahareh Abtahi-Naeini ◽  
Bahar Saffar ◽  
Ali Saffaei ◽  
...  
Keyword(s):  
Controlled Study ◽  
Alexandrite Laser ◽  
Double Blind ◽  
Idiopathic Hirsutism ◽  
The Face ◽  
Group A ◽  
The Mean ◽  
The Difference ◽  
Hair Removal Laser ◽  
Group B

Hirsutism is one of the most prevalent health problems in women. The aim of the study was to compare the effect of 755 nm alexandrite hair removal laser with that of alexandrite laser plus topical licorice on the improvement of idiopathic hirsutism. A double-blind, randomized placebo-controlled study was performed on 90 female subjects. The patients were divided into two groups: alexandrite laser plus 15% licorice gel (group A) and placebo (group B). Each subject received one of both products over one side of the face, twice daily for 24 weeks on the hirsute locations. Each group underwent five sessions of alexandrite laser at 6-week intervals. To minimize the effects of confounding variables, the test was performed on two separate zones of patients’ skin. The mean ± SD numbers of terminal hairs in group A were 7.05 ± 4.55 for zone 1 and 6.06 ± 3.70 for zone 2. In group B, they were 3.18 ± 1.75 for zone 1 and 2.49 ± 1.63 for zone 2. The difference in the mean number of terminal hairs was statistically significant between the two groups (p<0.001), and there were no serious adverse reactions. The treatment of idiopathic hirsutism with 755 nm alexandrite laser plus topical licorice is more effective than alexandrite laser only.

scholarly journals Effect of Fish Oil on The Serum Urea Level in Gentamicin Induced Nephrotoxicity in Long Evans Rats

KYAMC Journal ◽  
2020 ◽  
Vol 11 (2) ◽  
pp. 83-86
Author(s):  
Md Shameem Ahmed ◽  
Ayesha Yasmin ◽  
Md Ashraf Ahmed ◽  
Ashrafuzzaman ◽  
Rashed Mustafa ◽  
...  
Keyword(s):  
Fish Oil ◽  
Potential Effect ◽  
Saline Group ◽  
Protective Effects ◽  
Serum Urea ◽  
Urea Level ◽  
Group A ◽  
Long Evans ◽  
The Difference ◽  
Group B

Background: Gentamicin is used worldwide as bactericidal agent against severe gram negative infections. Gentamicin induced nephrotoxicity can be minimized by administration dietary fish oil. Objectives: The present study was designed to observe the possible potential effect of Fish oil on gentamicin-induced nephrotoxicity in Long Evans rats. Materials and Methods: The experimental study was carried out in the department of anatomy at Dhaka Medical College (DMC) among 40 Long Evans rats of both sex with the weight ranges from 172-255 gm and the age ranges from 7 to 10 weeks. The rats were divided into four groups-Group A (normal control) received normal saline, group B, C and D received gentamicin for 6 days. Rats of group C received fish oil capsule for 9 days with gentamicin and group D received fish oil capsule with gentamicin for total 10 days. Serum urea level was measured at the end of experiment. Results: The serum urea (mean±SD) levels in group A, B, C and D was 4.79±0.32, 12.41±1.22, 6.95±0.91 and 6.18±1.00, respectively. The gentamicin treated rats (group B) had shown increased serum urea levels in comparison to fish oil (group C&D) treated rats. The difference between groups were highly significant (P<0.001) for group A&B, A&C, B&C and B&D. The difference between groups A&D (P<0.01) were moderately significant. Whereas the difference between C&D (P>0.05) was not significant. Conclusion: Fish oil treatment showed some protective effects against gentamicin induced nephrotoxicity. The results also indicated that effectiveness of fish oil depends on a suitable duration of pretreatment. KYAMC Journal Vol. 11, No.-2, July 2020, Page 83-86

scholarly journals Study of Morphology of the Ovary as a Determinant of Reproductive Age

2014 ◽  
Vol 11 (2) ◽  
pp. 77-80
Author(s):  
Shamima Yesmin ◽  
Selina Anwar ◽  
Anjum Ara Begum ◽  
Narayan Chandra Saha ◽  
Md Khalilur Rahman
Keyword(s):  
Age Groups ◽  
Physical Method ◽  
The Other ◽  
Reproductive Age ◽  
Cross Sectional ◽  
Age Related ◽  
Group A ◽  
The Difference ◽  
Group B ◽  
The Right

Context and rationale: The age related infertility due to early ovarian ageing is one of the problems for women who want to become pregnant in late age in our country. Ovarian ageing reflects in its morphology. So this study was aimed at determining the gross morphology of the ovary in different age groups of Bangladeshi female (cadaver) to assess the possible relationships among different morphological variable of ovaries in different age groups. The present study would serve as a baseline data for the gynecologist, obstetricians and endocrinologist about the onset of infertility in the context of Bangladesh. Materials and methods: Cross sectional analytical type of study was conducted at the department of Anatomy, Rangpur Medical College, Rangpur. Fifty pairs postmortem human ovaries from Bangladeshi female aged between 15 and 45 years were examined for morphological study. The morphological parameters such as length, breadth, circumference, weight and volume of the right and left ovaries determined by physical method and the data were compared between different age groups. Result: Mean length, circumference and volume were significantly higher in group A than the other groups in both right and left sides. The difference reached a significant level (P< 0.05) in both ovaries in between and within groups for all mentioned parameter. The mean breadth of right ovary in group B and mean breadth of left ovary in group A were larger than the other groups but was not significant. Conclusion: The values of the morphological measurements fall from younger to older women. This may be due to depletion of the ovarian non-growing follicles thus reflecting fall in the ovarian reserve. DOI: http://dx.doi.org/10.3329/bja.v11i2.20675 Bangladesh Journal of Anatomy, July 2013, Vol. 11 No. 2 pp 77-80

scholarly journals Effect of Compression Stockings after Endovenous Laser Ablation of the Great Saphenous Vein with a 1470 nm Diode Laser Device and a 2ring Fiber

2021 ◽  
Vol 10 (17) ◽  
pp. 3861
Author(s):  
Laura Fischer ◽  
Uldis Maurins ◽  
Eberhard Rabe ◽  
Juris Rits ◽  
Arnolds Kadiss ◽  
...  
Keyword(s):  
Laser Ablation ◽  
Diode Laser ◽  
Compression Stocking ◽  
Compression Stockings ◽  
Post Intervention ◽  
Endovenous Laser Ablation ◽  
Pain Scores ◽  
Group A ◽  
The Difference ◽  
Group B

The aim of this study was to demonstrate the effects of compression following the endovenous laser ablation (EVLA) of incompetent great saphenous veins (GSVs) using a 1470 nm diode laser (Ceralas E 1470 nm, biolitec) and a 2ring radial fiber (ELVeS Radial 2ring™, biolitec). In this single-center prospective study, 150 legs of 150 consecutive patients were randomly allocated to one of three groups (A, B, and C). Group A patients did not undergo postoperative compression. Group B patients wore a thigh-length graduated compression stocking (23–32 mmHg) for 7 days, whereas group C patients wore the same stocking for 28 days. No additional phlebectomies or sclerotherapies were performed. Investigations were performed prior to intervention, at the day of intervention (D0), at day 7 (D7), and at day 28 post intervention (D28). The primary endpoint was post-interventional pain measured on a 10-point scale. A significant but small pain decrease was observed in the first week of compression, by comparing group B’s mean pain scores to those of group A (p = 0.009). Wearing a compression stocking after EVLA reduced pain within the first week on a significant, but low level. Taking the very low differences in pain levels into account, the difference may not be clinically relevant and post-treatment compression may not be necessary if no additional phlebectomies or sclerotherapies are performed.

Comparison Of The Effect Of Two-dose And One-dose Dexamethasone On Post-inflammatory Complications In Third Molar Surgery

2017 ◽  
Vol 2 (1) ◽  
pp. 8-17
Author(s):  
AM Adetayo ◽  
TA Oyedele ◽  
AO Ajomoko ◽  
MO Adetayo ◽  
MO Adeyemi ◽  
...  
Keyword(s):  
Third Molar ◽  
Mouth Opening ◽  
University Teaching ◽  
Third Molar Surgery ◽  
Pain Scores ◽  
Facial Swelling ◽  
Reduction Of Pain ◽  
Group A ◽  
Group B ◽  
Double Blinded

Objective: This study aimed to compare the effects of administration of both preoperative and postoperative dexamethasone with that of only preoperative dexamethasone, and with that of a no dexamethasone (control) on reduction of pain, trismus and swelling following lower impacted 3rd molar surgery. Methods: A prospective randomized controlled double blinded study at the dental clinic of Babcock University Teaching Hospital on 84 subjects that were divided into 3 groups. Group A had both preoperative and postoperative dexamethasone, while group B had only preoperative dexamethasone and group C was a 'no dexamethasone' group. Differential mean facial swelling, mouth opening and pain scores were compared within the three groups. Results: The pattern of postoperative swelling, pain and trismus showed a general decrease from day 1 to 7, with group A showing the highest rate of decrease. On postoperative day 1, there was a difference between the swelling of groups A and C (p =0.01) and groups B and C (p = 0.02) and also between the pain scores of group A and group C (p = 0.01). On postoperative day 3, there was only a difference between the swelling of groups A and C (p = 0.02), but not in pain and trismus and no difference was seen in all the measured variables on postoperative day 7. Conclusion: Administration of a combination of both preoperative and post operative dexamethasone to reduce the postoperative inflammatory sequelae that follows lower third molar surgery gave better results than administration of only a single preoperative dose.

Efficacy and Safety of Oral Ivermectin and Topical Permethrin in the Treatment of Scabies

2020 ◽  
Vol 33 (1) ◽  
pp. 41-47
Author(s):  
Mohsena Akhter ◽  
Ishrat Bhuiyan ◽  
Zulfiqer Hossain Khan ◽  
Mahfuza Akhter ◽  
Gulam Kazem Ali Ahmad ◽  
...  
Keyword(s):  
Skin Diseases ◽  
Close Contact ◽  
Randomized Study ◽  
Sarcoptes Scabiei ◽  
Efficacy And Safety ◽  
Common Skin ◽  
Group A ◽  
The Mean ◽  
The Difference ◽  
Group B

Background: Scabies is one of the most common skin diseases in our country. It is caused by the mite Sarcoptes scabiei var hominis, which is an ecto-parasite infesting the epidermis. Scabies is highly contagious. Prevalence is high in congested or densely populated areas. Individuals with close contact with an affected person should be treated with scabicidal which is available in both oral and topical formulations. The only oral but highly effective scabicidal known to date is Ivermectin. Amongst topical preparations, Permethrin 5 % cream is the treatment of choice. Objective: To evaluate the efficacy & safety of oral Ivermectin compared to topical Permethrin in the treatment of scabies. Methodology: This prospective, non-randomized study was conducted at the out-patient department of Dermatology and Venereology of Shaheed Suhrawardy Medical College & Hospital over a period of 6 months, from August 2016 to January 2017. The study population consisted of one hundred patients having scabies, enrolled according to inclusion criteria. They were divided into two groups. group A was subjected to oral Ivermectin and the group B to Permethrin 5% cream. Patients were followed up on day 7 and 14 for assessment of efficacy and safety. Result: The mean scoring with SD in group A (Ivermectin) and group B (Permethrin) were 8.26 ± 2.22 and 7.59 ± 2.01 respectively at the time of observation. The difference between the mean score of the two group is not significant (p=0.117) the mean scoring with SD in group A and group B were 4.54 ± 2.05 and 1.64 ± 1.84 respectively at 7thdays. The difference between the mean score of the two group is significant (p<0.001). The mean scoring with SD in group A and group B were 2.68± 2.35 and .36± 1.10 respectively at 14th day difference between the mean score of the group is significant (p<0.001). Conclusion: Topical application of permethrin 5% cream is more effective and safer than oral Ivermectin in the treatment of scabies. TAJ 2020; 33(1): 41-47

Pregabalin As A Premedicant To Attenuate Pressor Response In Patients Undergoing Laparoscopic Cholecystectomy: A Prospective, Randomized, Double-Blind, Placebo-Controlled Study

2020 ◽  
Vol 11 (3) ◽  
pp. 3418-3423
Author(s):  
Sweety Agrawal ◽  
Shubdha Bhagat ◽  
Pratibha Deshmukh ◽  
Amol Singham
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Pressor Response ◽  
Controlled Study ◽  
Double Blind ◽  
Co2 Insufflation ◽  
Ramsay Sedation Scale ◽  
Minute Interval ◽  
Group A ◽  
Group B ◽  
Induction Of Anaesthesia

The present study was done to evaluate the ability of oral pregabalin to attenuate the pressor response to airway instrumentation in patients undergoing laparoscopic cholecystectomy under general anesthesia. Sixty-four adult patients aged between 25-55 year of either gender belonging to ASA-1 or ASA2 physical status weighing 50-70 kg were enrolled in this study. Thirty-two patients each were randomized to group A, or group B. Patients in group A received tablet Pregabalin (150mg) and those in group B received placebo orally one hour before induction of anaesthesia. Heart rate, blood pressure, and sedation were assessed preoperatively before giving the tablets and after 30 minutes, and just before induction of anaesthesia. Intraoperative, pulse rate, mean arterial pressure, ECG in the lead II, SPO2 and ETCO2 were monitored. All the above parameters were noted during laryngoscopy and intubation, 3 minutes after CO2 insufflation, and then at every 10-minute interval till the end of surgery. These parameters were also recorded after extubating the patient. The Ramsay sedation scale was used to assess the sedation at the baseline, one hour after drug intake , one hour after extubation and 4 hour after surgery. Any adverse effects in the postoperative period were recorded. The result of our study shows that pre-emptive administration of oral pregabalin 150 mg significantly reduced the pressor response at the time of laryngoscopy and intubation, after CO2 insufflation and just after extubation. We conclude that oral pregabalin premedication is effective in successful attenuation of hemodynamic pressor response to laryngoscopy, intubation and pneumoperitoneum in patients undergoing laparoscopic cholecystectomy

Pharmacokinetics and Safety Assessment of Anti-HIV Dapivirine Vaginal Microbicide Rings with Multiple Dosing

2020 ◽  
Author(s):  
Lungwani Muungo
Keyword(s):  
Ex Vivo ◽  
Oral Treatment ◽  
Plasma Concentrations ◽  
Vaginal Ring ◽  
Vaginal Fluid ◽  
Cervical Tissue ◽  
Double Blind ◽  
Group A ◽  
Group B ◽  
Anti Hiv

Objectives: Self-administered vaginal rings are a promising method for delivery of topical anti-HIV microbicidesand might offer an adherence advantage over daily or coitally-dependent dosage forms such as gels. This trialassessed the safety and pharmacokinetic aspects of the Dapivirine Vaginal Ring-004 when worn as multiple rings oversequential periods of ring use by healthy, sexually-active, HIV-negative women.Methods: This double-blind trial was conducted among 48 women (18-40 years). Participants were randomlyassigned to two groups (A or B) and received (3:1) either the dapivirine or a placebo vaginal ring. Group A used tworings over a 56-day period and Group B used three rings over a 57-day period. Safety evaluations were conductedthroughout the trial. Dapivirine concentrations were measured in plasma, vaginal fluid and cervical tissue samplescollected during and after the 56 days (Group A) or 57 days (Group B) of vaginal ring use.Results: Ring-004 was safe and well tolerated in all participants. The pharmacokinetic profile demonstrated arapid increase in plasma and vaginal fluid concentrations and achieved concentrations in vaginal fluids and cervicaltissue well above the in vitro IC99 in cervical tissue (3.3 ng/mL) that were sustained for a 28 to 35-day ring use period(approximately 3000 times higher in vaginal fluids and 14 -1000 times higher in cervical tissue). Drug levels wereassociated with significant inhibitory activity of genital secretions against HIV ex vivo, a biomarker of pharmacodynamics.Individual plasma dapivirine concentrations did not exceed 553 pg/mL and were well below plasma concentrations atthe maximum tolerated dose for oral treatment (mean Cmax 2286 ng/mL).Conclusions: The consecutive use of several rings over a period of up to 57 days was safe and well tolerated, andPK data indicate that a single Ring-004 is likely to be protective for at least 35 days.

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