Comparison of Pain with Subcutaneous Lignocaine Infiltration based on Gate-control Hypothesis versus Conventional Bleb Formation before Passing Large-Bore Intravenous Cannula

Muhammad  Rizwan; Kaukab Majeed; Chaudhry Amjad Ali; Akhtar  Hussain; Sajjad  Qureshi; Kaswar Sajjad  Ansari

doi:10.51253/pafmj.v75i4.10926

Authors

Muhammad Rizwan Department of Anesthesia, Combined Military Hospital Quetta/National University of Medical Sciences (NUMS), Pakistan
Kaukab Majeed Department of Anesthesia, Combined Military Hospital Quetta/National University of Medical Sciences (NUMS), Pakistan
Chaudhry Amjad Ali Department of Anesthesia, Combined Military Hospital Quetta/National University of Medical Sciences (NUMS), Pakistan
Akhtar Hussain Department of Anesthesia, Combined Military Hospital Quetta/National University of Medical Sciences (NUMS), Pakistan
Sajjad Qureshi Department of Anesthesia, Combined Military Hospital Quetta/National University of Medical Sciences (NUMS), Pakistan
Kaswar Sajjad Ansari Department of Anesthesia, Combined Military Hospital Quetta/National University of Medical Sciences (NUMS), Pakistan

DOI:

https://doi.org/10.51253/pafmj.v75i4.10926

Keywords:

Cannula, Gate-Control Hypothesis, Lidocaine, Local Anesthesia

Abstract

Objective: To measure the frequency of pain with two techniques of local infiltration, i.e. local infiltration by raising bleb with help of local anesthetic, and rubbing the site of infiltration of local anesthetic.

Study Design: Quasi-experimental study.

Place and Duration of Study: Anesthesia Department, Combined Military Hospital, Quetta Pakistan, from Mar to Aug 2023.

Methodology: A sample of 130 patients was divided into two equal groups: In Group-A, local anesthetic was infiltrated locally by raising a bleb and in Group-B, continuous rubbing was employed over infiltration site of local anesthetic. The frequency of pain was noted in both study group and Chi-square analysis was employed to compute statistical significance through p-value.

Results: The numerical rating score (NRS) was higher in Group-A patients as 52(80.0%) patients had NRS >4 while 13(20.0%) had NRS<4. In Group-B only 19(29.2%) patients had NRS >4 while 46(70.8%) patients had NRS<4. The difference was statistically significant (p<0.001).

Conclusion: We concluded that rubbing reduces pain scores during local infiltration into subcutaneous tissue utilizing gate-control hypothesis.

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