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</td></tr></table>WikiSysophttps://pedsanesthesia.net/wiki/index.php?title=TYK92&diff=1051&oldid=prevhttps://pedsanesthesia.net/wikiOLD032021>DrBobGreenberg at 19:40, 12 June 20152015-06-12T19:40:37Z<p></p>
<p><b>New page</b></p><div>__NOTOC__<br />
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Which of the following decreases the pain of injection of IV propofol?<br />
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A. Slowing the speed of injection<br />
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B. Warming the injectate <br />
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C. Preinjection of IV of lidocaine/analgesics<br />
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D. Lidocaine-tourniquet technique (Bier block)<br />
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E. Increasing the size of vein selected for injection<br />
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==Answer==<br />
The answer is D.<br />
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A systematic review in A&A reviewed the various "cures" for pain on injection of propofol. The only one that seemed to be effective was the Bier block like technique. IV lidocaine (0.5 mg/kg) should be given with a [rubber] tourniquet on the forearm, 30 to 120 s before the injection of propofol; lidocaine will prevent pain in approximately 60% of the patients treated in this manner.<ref>[http://www.ncbi.nlm.nih.gov/pubmed/?term=Picard%2C+Pascale%2C+and+Martin+R.+Tramer.+%22Prevention+of+pain+on+injection+with+propofol%3A+a+quantitative+systematic+review.%22+Anesthesia+%26+Analgesia+90.4+(2000)%3A+963-969.Picard, Pascale, and Martin R. Tramer. "Prevention of pain on injection with propofol: a quantitative systematic review." Anesthesia & Analgesia 90.4 (2000): 963-969.]</ref><br />
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==Notes==<br />
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