Research Article
Volume 5 Issue 6 - 2021
Chilly Feeling Verse Warm Feeling in Increasing Propofol Injection Pain in Pain-Free Bronchoscopy
Yutao Liu, Fan Ouyang, Bin Zeng and Zhiming Zhang*
Department of Anesthesiology and Operating Room, Chenzhou No.1 Peoples’ Hospital, Chenzou City, Hunan Province, China
*Corresponding Author: Zhiming Zhang, Department of Anesthesiology and Operating Room, Chenzhou No.1 Peoples’ Hospital, Chenzou City, Hunan Province, China.
Received: April 14, 2021; Published: May 25, 2021




Abstract

Background: Patients will have a different feeling about the same temperature. This feeling will have some effect on the physiological reaction. The purpose of this research is to testify this question: Will chilly feeling enhance the pain induced by propofol injection?

Participants and Methods: One hundred and ninety-one patients with ASA physical status at I to II scheduled for pain-free Bronchoscopy underwent general anaesthesia were included in this research. The temperature of the operating room was set to 22℃ and a 22 G vein cannula was inserted into a vein on the dorsum of the hand. Patients were allocated into 3 groups according to their feeling on the set temperature: Group W (patients reported with warm feeling), Group J (patients reported with just right) and Group C (Patients reported with chilly or cold feeling). After an average of three times of measurements, core temperature was recorded from ear temperature with a portable infrared thermometer. A temperature probe was patched in the centre of injecting hand, to get peripheral temperature. Propofol (1%) 2 mg/kg for inducing was injected by a pumper at a speed of 5 ml/min. Injection pains were recorded following 0 for no pain, 1 for mild pain, 2 for moderate pain or severe pain and 20 mg 0.5% lidocaine was injected for pain-relieving reinforcements. A nasal catheter oxygen supply at 2 L/min was maintained.

Results: (1) Total incidence of injection pains in all of the patients was 68% (130/191) including pain scale at 1 to 2 in our study; (2) Incidence of injection pain in group Chilly was significantly higher than that in Group Just and Group Warm (p < 0.05); (3) No significant difference was found among three groups in Central temperature; (4) Pain Intensity of injection in group Chilly was significantly severe than that in Group Just than Group Warm (p < 0.05).

Conclusion: Comparing to warm and just right feeling, Patients with normal core temperature but the chilly feeling will suffer more frequent and intense Propofol-induced injection pain during the induction procedure of general anaesthesia.

Keywords: Feelings; Chilly; Temperature; Propofol; Injection Pain

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Citation: Zhiming Zhang., et al. “Chilly Feeling Verse Warm Feeling in Increasing Propofol Injection Pain in Pain-Free Bronchoscopy”. EC Emergency Medicine and Critical Care 5.6 (2021): 43-49.

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