Effect of Esmolol on Pain Due to Rocuronium
Study Details
Study Description
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.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 4 |
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.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: brevibloc (esmolol) Group E will receive esmolol (1 mg/kg), Group L lidocaine (0.5 mg/kg)and Group C placebo(NaCl 0.9%, 5 mL) |
Drug: Esmolol
Group E: esmolol (1 mg/kg), (rocuronium) (0.05mg/kg)
Other Names:
Drug: rocuronium
0.05 mg/kg rocuronium
|
Active Comparator: Aritmal (Lidocaine) Group E: esmolol (1 mg/kg) Group L: lidocaine (0.5 mg/kg) Group C: placebo(NaCl 0.9%, 5 mL) |
Drug: Lidocaine
Group L lidocaine (0.5 mg/kg), (rocuronium) (0.05mg/kg).
Other Names:
Drug: rocuronium
0.05 mg/kg rocuronium
|
Placebo Comparator: Placebo (NaCl 0.9%, 5 ml) Group E: esmolol (1 mg/kg) Group L: lidocaine (0.5 mg/kg) Group C: placebo(NaCl 0.9%, 5 mL) |
Drug: rocuronium
0.05 mg/kg rocuronium
Drug: Placebo
Group C: Placebo (NaCl 0.9%, 5 ml), (rocuronium) (0.05mg/kg)
|
Outcome Measures
Primary Outcome Measures
- 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 Outcome Measures
- 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 Outcome Measures
- To assess patient satisfaction [1 Month]
Eligibility Criteria
Criteria
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
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Diskapi Teaching and Research Hospital | Ankara | Altindag | Turkey |
Sponsors and Collaborators
- Ankara Diskapi Training and Research Hospital
Investigators
- Principal Investigator: Fakelma 05327079113, Diskapi Teaching and Research Hospital
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- ESM 0538