British Journal of Anaesthesia, Vol 79, Issue 3 382-383, Copyright © 1997 by The Board of Management and Trustees of the British Journal of Anaesthesia
A. Borgeat and D. Kwiatkowski
Spontaneous movements are sometimes observed of the arm into which
rocuronium is administered. In order to assess a possible relationship
between these movements and pain, we injected in 10 awake, ASA I patients,
in a double-blind manner, both rocuronium 1 ml (10 mg) and 0.9% NaCI 1 ml
(placebo), with a 30-s interval in between. None of the patients receiving
placebo complained of pain, but eight of 10 patients reported a strong
burning pain during injection of rocuronium with brisk flexion of the elbow
and wrist, similar to those observed in patients after induction of
anaesthesia. A second injection of rocuronium did not produce such pain and
no movements were observed. We conclude that injection of rocuronium is
associated with severe, burning pain of short duration, responsible for the
spontaneous movements in the arm observed after induction of anaesthesia.
SHORT COMMUNICATIONS
Spontaneous movements associated with rocuronium: is pain on injection the cause?
Department of Orthopaedics, University of Zurich/Balgrist, Switzerland
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