Evaluation of the Effect of Venous Diameter Measurement by Ultrasonography on Pain and Withdrawal Response (VDIAMETER)

Aydin Adnan Menderes University

Status: Completed

Conditions: Withdrawal; Pain

Treatments: Diagnostic Test: Withdrawal movement score; Diagnostic Test: hemodynamic response; Diagnostic Test: Pain Score

Study type: Observational

Funder types: Other

Identifiers

NCT03376308

VASCULAR DIAMETER

Details and patient eligibility

About

During general anesthesia, intravenous (IV) medications can disrupt the patient's comfort by causing a pain sensation or a withdrawal response in the heart. Propofol and rocuronium are among the most common causes of this condition.

In recent years, the use of ultrasonography (USG) in anesthesia has become widespread with the rapid advancement of technology. The use of the patient's head is a non invasive method.

This study is aimed to evaluate whether the size of the venous diameter assessed by ultrasonography in our study is an effect on pain and withdrawal response after drug injections.

Full description

The study was conducted in patients who underwent surgical procedures under general anesthesia by obtaining consent from the Adnan Menderes University Medical Faculty Ethics Board and written consent from the patients and then being admitted to the ASA I-II age group 18-70 years of age.

Patients with peripheric vascular disease, vasculitis, rheumatologic disease, non-cooperative, under the age of 18 and over 70, ASA III and above, allergic to general anesthetic agents and refusing to participate in the study were excluded from the study.

Enrollment: 145 patients

Sex: All

Ages: 17 to 70 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

18- 70 years of ASA (American society of anesthesiology) physical status I- II who were to undergo various elective operations

Exclusion criteria

Rheumatologic disease Peripheric vascular disease Vasculitis Patients with chronic pain syndrome, Patients with neurologic deficits, Patients with thrombophlebitis, Patients with difficult venous access, Patients with allergy

Trial design

145 participants in 2 patient groups

Group 1

Description:

Venous diameter measurements were made via the USG in the hand dorsum. Transverse venous diameter ≤2mm was defined group 1. Anesthesia induction drugs were all treated in the same order and dose. Pain score, withdrawal movement score and hemodynamic response was recorded.

Treatment:

Diagnostic Test: Withdrawal movement score

Diagnostic Test: hemodynamic response

Diagnostic Test: Pain Score

Group 2

Description:

Venous diameter measurements were made via the USG in the hand dorsum.Transverse venous diameter \>2mm was defined group 2.Anesthesia induction drugs were all treated in the same order and dose. Pain score, withdrawal movement score and hemodynamic response was recorded.

Treatment:

Diagnostic Test: Withdrawal movement score

Diagnostic Test: hemodynamic response

Diagnostic Test: Pain Score