Evidence map›Paper›PMID 40527818›Full record

Trial reportMedicine2025

Skin cooling and topical application of menthol can reduce propofol injection-induced pain, a randomized trial.

Takashi Ishida, Natsuko Watanabe, Satoshi Tanaka, Mikito Kawamata

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Takashi IshidaDepartment of Anesthesiology and Resuscitology, Shinshu University School of Medicine, Matsumoto City, Nagano, Japan.ORCID 0000-0001-9749-3822
Natsuko Watanabe
Satoshi Tanaka
Mikito Kawamata

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSkin cooling has an analgesic effect on propofol injection-induced pain. We evaluated the analgesic effectiveness of topical menthol application and skin cooling for reducing propofol injection-induced pain.

methodsPatients (n = 120) were randomized to a cooling group, a room temperature group (non-cooling group), a menthol group, and a solvent group. In the cooling group, a cooling gel pad (7°C) was applied to the forearm. In the non-cooling group, a gel pad (25°C) was used. In the menthol group, 30% menthol was applied to the forearm. In the solvent group, a solvent was applied. Fifteen minutes after these interventions, propofol was intravenously injected. We assessed the incidence and severity of propofol injection-induced pain.

resultsThe incidence of propofol injection-induced pain in the cooling group was significantly lower than that in the non-cooling group (27% vs 52%, P = .049). The pain intensity in the cooling group was lower than that in the non-cooling group (P = .027). The incidence of propofol injection-induced pain in the menthol group was significantly lower than that in the solvent group (13% vs 40%, P = .020). The pain intensity in the menthol group was lower than that in the solvent group (P = .021).

conclusionTopical menthol application and skin cooling are effective for reducing propofol injection-induced pain.

Indexed as

Anesthetics, IntravenousMentholPainPropofolAdministration, TopicalAdultFemaleHumansInjections, IntravenousMaleMiddle AgedPain MeasurementAnesthetics, IntravenousMentholPropofolinjection-induced painpropofoltransient receptor potential melastatin 8

Identifiers

PMID40527818
PMCPMC12173270

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.