Propofol and the unspoken pain

N.S. Sushmithaa

Final year PG Anaesthesia, Kauvery Hospital, Cantonment, Trichy

Background

Aim

To reduce pain during administration of propofol during general anaesthesia.

Research Design

Place of audit: KMC Speciality Hospital, Cantonment
Date of audit: May 2024 to October 2024
Source of audit: OT, KMC Specialty hospital, Cantonment
Done by: Department of Anaesthesiology

Mechanism of pain during protocol injection

Purpose of the audit

To make the patient pain free after propofol administration

Methodology

All patients undergoing elective surgery under General Anaesthesia.

Demographic details of patient
Diagnosis and proposed surgery
IV line gauge size
Pain after propofol injection

Results

Totally 3 Groups

Population 1: Administration of Propofol on running flow with IV Fluid

Population 2: Administration of 2 ml Lignocaine Plain in the extension line and occluding the IV line for 30 seconds , then administration of propofol.

Population 3: Administration of 2 ml Lignocone Plain direct IV then followed by administration of Propofol.

Data collected in the year 2024 (May to October)

Observation

Population 1: 41 out of 162 patients had no pain
Population 2: 28 out of 151 patients had no pain
Population 3: 127 out of 140 patients had no pain

Comparison of the data’s

Population 1	Population 2	Population 3
87%	84.8%	90.7%

Literature Review

1). Amir M. Shabana. Prevention of propofol injection pain, using lidocaine in a large volume does it make a difference? A prospective randomized controlled double blinded study. EgJA. 2013;29: 291-294. https://doi.org/10.1016/j.egja.2013.04.003

Conclusion

Administration of Lignocaine reduced pain during propofol injection effectively.

Propofol and the unspoken pain

Propofol and the unspoken pain

N.S. Sushmithaa

Journals