Cited 18 times in
Pharmacological prevention of rocuronium-induced injection pain or withdrawal movements: a meta-analysis
DC Field | Value | Language |
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dc.contributor.author | 김지영 | - |
dc.date.accessioned | 2014-12-18T09:22:32Z | - |
dc.date.available | 2014-12-18T09:22:32Z | - |
dc.date.issued | 2013 | - |
dc.identifier.issn | 0913-8668 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/88054 | - |
dc.description.abstract | Rocuronium is reported to be associated with injection pain or withdrawal movement (IPWM). This meta-analysis assessed the efficacy of different pharmacological treatments used to decrease the incidence of the rocuronium-induced IPWM. We searched the Cochrane Library, Embase and PubMed for randomized controlled trials comparing a pharmacological drug with a placebo to prevent the rocuronium-induced IPWM and found 37 studies with 5,595 patients. Overall incidence of rocuronium-induced IPWM was 74%. Pretreatment with opioids [risk ratio (RR) 0.16; 95% confidence interval (95% CI) 0.09-0.29], lidocaine (0.47; 0.35-0.64), and ketamine (0.41; 0.22-0.77) were effective in decreasing IPWM. Lidocaine pretreatment with venous occlusion (0.40; 0.32-0.49) and opioids pretreatment with venous occlusion (0.77; 0.61-0.96) were also effective. Mixing sodium bicarbonate (NaHCO3) with rocuronium (0.15; 0.06-0.34) was also efficacious in reducing IPWM. Indirect comparison shows that the RR of NaHCO3 admixture and pretreatment with opioids were lower than that of the other four interventions (pretreatments of ketamine or lidocaine, and lidocaine or opioids with venous occlusion). This meta-analysis suggests that opioids, lidocaine, ketamine, and NaHCO3 are effective in decreasing rocuronium-induced IPWM. Considering the efficacy and convenience, pretreatment with opioids without venous occlusion is recommended for reducing rocuronium-induced IPWM. | - |
dc.description.statementOfResponsibility | open | - |
dc.relation.isPartOf | JOURNAL OF ANESTHESIA | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Analgesics/therapeutic use* | - |
dc.subject.MESH | Androstanols/adverse effects* | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Injections, Intravenous | - |
dc.subject.MESH | Pain/chemically induced* | - |
dc.subject.MESH | Pain/drug therapy | - |
dc.subject.MESH | Pain/prevention & control* | - |
dc.subject.MESH | Randomized Controlled Trials as Topic | - |
dc.title | Pharmacological prevention of rocuronium-induced injection pain or withdrawal movements: a meta-analysis | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Anesthesiology (마취통증의학) | - |
dc.contributor.googleauthor | Hyun Jeong Kwak | - |
dc.contributor.googleauthor | Ji Young Kim | - |
dc.contributor.googleauthor | Yong Beom Kim | - |
dc.contributor.googleauthor | Sang Kee Min | - |
dc.contributor.googleauthor | Bong Ki Moon | - |
dc.contributor.googleauthor | Jong Yeop Kim | - |
dc.identifier.doi | 10.1007/s00540-013-1595-7 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A00977 | - |
dc.relation.journalcode | J01234 | - |
dc.identifier.eissn | 1438-8359 | - |
dc.identifier.pmid | 23519582 | - |
dc.identifier.url | http://link.springer.com/article/10.1007%2Fs00540-013-1595-7 | - |
dc.subject.keyword | Anesthesia | - |
dc.subject.keyword | Meta-analysis | - |
dc.subject.keyword | Rocuronium | - |
dc.subject.keyword | Pain | - |
dc.subject.keyword | Injection | - |
dc.subject.keyword | Prevention | - |
dc.contributor.alternativeName | Kim, Ji Young | - |
dc.contributor.affiliatedAuthor | Kim, Ji Young | - |
dc.rights.accessRights | not free | - |
dc.citation.volume | 27 | - |
dc.citation.number | 5 | - |
dc.citation.startPage | 742 | - |
dc.citation.endPage | 749 | - |
dc.identifier.bibliographicCitation | JOURNAL OF ANESTHESIA, Vol.27(5) : 742-749, 2013 | - |
dc.identifier.rimsid | 32729 | - |
dc.type.rims | ART | - |
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