PMID: 9430568Jan 1, 1997Paper

Pre- and postoperative intra-articular analgesia for arthroscopic surgery of the knee and arthroscopy-assisted anterior cruciate ligament reconstruction. A double-blind randomized, prospective study

Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA
M DentiN Fraschini

Abstract

We tested the effectiveness of different intra-articular analgesics and of pre-emptive intra-articular analgesia for arthroscopy-assisted anterior cruciate ligament reconstruction (ACLR) and for operative knee arthroscopy. Eighty-two patients underwent operative knee arthroscopy under selective subarachnoid anaesthesia (group A), and 60 patients underwent arthroscopy-assisted ACLR under general anaesthesia (group B). Patients were randomly assigned to intra-articular analgesic treatment as follows. Group A: 1, morphine 2 mg; 2, preoperative morphine 2 mg; 3, morphine 5 mg; 4, preoperative morphine 5 mg; 5, bupivacaine 0.25% 20 ml; 6, bupivacaine 0.25% 20 ml + morphine 2 mg; 7, saline solution 20 ml. Group B: 1, morphine 2 mg; 2, morphine 5 mg; 3, preoperative morphine 5 mg; 4, bupivacaine 0.25% 20 ml; 5, bupivacaine 0.25% 20 ml + morphine 2 mg; 6, saline solution 20 ml. All opioids were diluted in 20 ml of saline solution. After postoperative administration the tourniquet was left in place for 10 min. After preoperative administration the intra-articular surgical procedure was delayed for about 5-10 min. In the postoperative period we recorded: total consumption of ketoprofen given i.v. on demand as rescue analgesic treatment; ...Continue Reading

Citations

Aug 18, 1999·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·S K SchwarzB A MacLeod
Sep 22, 2009·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·S SenthilkumaranA G Sutherland
Nov 25, 2011·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Habibollah HosseiniMohammad Reza Mozayan
Mar 27, 2002·Regional Anesthesia and Pain Medicine·Scott S Reuben, Joseph Sklar
Dec 1, 2006·Sports Medicine and Arthroscopy Review·Barton Harris, Mark D Miller
Jun 19, 2013·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Chao ZengGuang-hua Lei
Sep 13, 2013·Orthopedics·Hussein ElkousyG William Woods
May 20, 2008·Clinics in Podiatric Medicine and Surgery·Robert HallivisAndrew J Meyr
Sep 9, 2005·Acta Anaesthesiologica Scandinavica·B TuncerM Arslan
Jul 18, 2006·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Constance R ChuFreddie H Fu
Aug 13, 2015·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Ye YangGuang-Hua Lei
Jun 19, 2009·The American Journal of Sports Medicine·Eric W Fester, Frank R Noyes
Jun 5, 2007·The Journal of Bone and Joint Surgery. American Volume·Scott S Reuben, Asokumar Buvanendran
Jan 7, 2005·The Journal of Bone and Joint Surgery. American Volume·David J StewartRaymond J Hood
Jul 13, 2012·The Journal of Bone and Joint Surgery. American Volume·Frank R NoyesSue D Barber-Westin
Aug 29, 2021·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Peng SuWeili Fu

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