Comparison between intra-articular bupivacaine with epinephrine and epinephrine alone on short-term and long-term pain after knee arthroscopic surgery under general anesthesia in day-surgery patients
| Autor: | J. Toivonen, V.-M. Pitko, Per H. Rosenberg |
|---|---|
| Rok vydání: | 2002 |
| Předmět: |
Bupivacaine
Ketoprofen 030222 orthopedics medicine.medical_specialty Local anesthetic medicine.drug_class business.industry Analgesic General Medicine Pain scale 3. Good health Surgery 03 medical and health sciences 0302 clinical medicine Anesthesiology and Pain Medicine Epinephrine 030202 anesthesiology Anesthesia Orthopedic surgery medicine Local anesthesia business medicine.drug |
| Zdroj: | Acta Anaesthesiologica Scandinavica. 46:435-440 |
| ISSN: | 0001-5172 |
| Popis: | Background: Postarthroscopy analgesia has been provided with intra-articular bupivacaine, but reported results are conflicting regarding efficacy and the duration of analgesia. The immediate and long-term effects of intra-articular bupivacaine with epinephrine after arthroscopic knee surgery were therefore studied in a day surgery setting. Methods: 120 ASA I–II patients scheduled for arthroscopic knee surgery were given general anesthesia with spontaneous breathing via a laryngeal mask. In a randomized and blinded fashion half of them received, at the end of surgery, intra-articularly 20 mL 0.5% bupivacaine with epinephrine (B + E-group) and the other half 20 mL saline with epinephrine (S + E-group). All patients received ketoprofen 100 mg i.v. during surgery and another 100 mg 2–3 h postoperatively. The patients were observed for about 4.5 h in the day surgery unit before discharge. Results: The results showed that in comparison with the S + E-group, significantly fewer patients in the B + E-group needed analgesics (P |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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