PMID: 8461077Jan 1, 1993Paper

Pain relief after arthroscopic surgery of the knee: a prospective, randomized, and blinded assessment of bupivacaine and bupivacaine with adrenaline

Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association
D Osborne, G Keene

Abstract

A prospective, randomized, and double-blind study was conducted to compare the influence on postoperative pain of equal volumes of saline, bupivacaine, or bupivacaine with adrenaline, injected both intraarticularly and into the wound puncture site, for 118 day case patients undergoing elective knee arthroscopy. Marginal analyses of postoperative visual analogue pain scores and postoperative fentanyl doses showed that the group given bupivacaine with adrenaline had less postoperative pain when compared with the saline group. However, when multifactor analyses were performed, preoperative visual analogue pain scores, operation type and length, and the sex of the patient were all shown to be significant predictors of postoperative pain, but the use of bupivacaine was not. We conclude that the observed differences in postoperative pain were due to differences between the groups in these predictive factors, especially preoperative pain scores, and that the use of bupivacaine was less important and not statistically significant in influencing postoperative pain.

References

Jan 1, 1989·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·S S ChirwaB Day
May 1, 1988·The American Journal of Sports Medicine·R P MeinigK J Kestin
Jan 1, 1988·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·S YoshiyaJ T Andrish
Jan 1, 1985·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·R NoleJ P Fulkerson

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Citations

Apr 18, 2001·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·N N ButterfieldB A MacLeod
Mar 10, 2005·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Ryan C GoodwinRichard D Parker
Jun 12, 2013·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Jie WeiTu-bao Yang
Aug 1, 1996·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·S LintnerW Garrett
Dec 21, 2002·Best Practice & Research. Clinical Anaesthesiology·Narinder Rawal
Apr 1, 1997·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·J HöherT Tiling
May 3, 2006·The Journal of Bone and Joint Surgery. American Volume·Constant A BuschRichard W McCalden
Apr 9, 1999·Anesthesia and Analgesia·S S Reuben, N R Connelly
Oct 10, 2019·The Journal of Bone and Joint Surgery. American Volume·Kyle John HancockMichael C Willey
May 1, 1996·The Journal of Bone and Joint Surgery. American Volume·N H BadnerJ A Doyle

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