Comparing the Effectiveness of Intra-Articular Injection of Bupivacaine, Dexmedetomidine Vs. 0.9% Saline on Pain Control after Arthroscopic Anterior Cruciate Ligament Reconstruction

Autor: Mohammad Reza Minator Sajjadi, Reza Zandi, Mohammad Ali Okhovatpour, Pooyan Jalalpour, Mohammad Reza Moshari
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Journal of Orthopedic and Spine Trauma, Vol 4, Iss 2 (2020)
Druh dokumentu: article
ISSN: 2538-2330
2538-4600
DOI: 10.18502/jost.v4i2.2957
Popis: Background: In different ways, drugs are administered to reduce postoperative analgesia after arthroscopic anterior cruciate ligament (ACL) reconstruction. The purpose of this study is to compare the dexmedetomidine (DEX) intra-articular injection with bupivacaine hydrochloride and sterile 0.9% saline administration following arthroscopic ACL reconstruction. Methods: Sixty cases who underwent ACL reconstruction were randomly divided into three groups. The first group received intra-articular DEX; the second group received intra-articular bupivacaine, and the final group received intra-articular 0.9% saline. Postoperative pain was measured by the Visual Analogue Scale (VAS). Results: The mean VAS scores at 6 and 24 hours after surgery were lower in the bupivacaine group, compared to the other groups. The pain was more severe in the control group (0.9% saline), with higher VAS scores reported at 1, 6, and 24 hours after surgery. Conclusions: Bupivacaine has more significant effects than DEX in postoperative pain management after arthroscopic ACL reconstruction.
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