• Injection technique:
    • Large vein
    • Slow speed of injection
  • Local Anaesthetic:
    • Lignocaine premedication (10-20mg given 10s before injection)
    • Lignocaine mixed with propofol (10-20mg mixed with 190mg propofol)
    • No clear evidence either method superior
  • Temperature:
    • Propofol cooled to 4 degrees
  • Premedication with opioids
  • GTN patch at site of injection

 

Detailed discussion is given in an article by tan et al.