Spinal, epidural or propofol anaesthesia for out-patient knee arthroscopy?

Acta Anaesthesiologica Scandinavica
V DahlJ C Raeder

Abstract

We have compared three different methods of anaesthesia for out-patient knee arthroscopy in terms of perioperative conditions, postoperative pain, time taken and economy. 91 ASA I-II patients scheduled for elective knee arthroscopy were included. After premedication with diazepam 10 mg and naproxene 500 mg orally, they were randomly assigned into one of three groups: Group S (n=32) received spinal anaesthesia with lidocaine 50 mg/ml 1.5-2 ml in 7.5% glucose through a 27-G Quincke needle, Group E (n=29) received epidural anaesthesia with mepivacaine 20 mg/ml and epinephrine 5 microg/ml, 15-20 ml, and Group P (n=30) received propofol anaesthesia with a bolus induction of 2 mg/kg followed by infusion. The time from start of anaesthesia until start of operation was significantly less in Group P than in the two other Groups: 7.4+/-5.4 min as compared to 23.0+/-4.8 min in Group S and 31.0+/-9.1 min in Group E (mean+/-SD, P<0.05). After end of surgery, the duration of the postoperative regional block was 75+/-28 min in Group S and 125+/-79 min in Group E (P<0.05). In Group S and Group E the postoperative pain was significantly less than in Group P at admission to the recovery unit and 60, 120 and 180 min later (P<0.05). The overall in...Continue Reading

References

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Citations

Apr 18, 2001·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·C R ChilversG W Mitchell
Jun 3, 1999·The Surgical Clinics of North America·D Tong, F Chung
Oct 6, 2006·Current Opinion in Anaesthesiology·Vegard Dahl, Johan Raeder
Aug 23, 2003·European Journal of Anaesthesiology·E ErhanB Ozyar
Jun 23, 2005·International Anesthesiology Clinics·Michael F Mulroy, Francis V Salinas
Aug 21, 2004·Annals of Surgery·Kresimir Oremus, Zrinka Safaric
Jan 1, 1997·Acta Anaesthesiologica Scandinavica. Supplementum·J Raeder
Jul 23, 2003·Anesthesia and Analgesia·Julia E PollockNayak L Polissar
May 11, 2007·Best Practice & Research. Clinical Anaesthesiology·Narinder Rawal
Jun 19, 2003·Anesthesiology Clinics of North America·Michael F Mulroy, Susan B McDonald
Jul 20, 2001·British Journal of Anaesthesia·N Rawal
Jun 1, 2001·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Johan C Ræder
May 8, 2001·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·J WongD Tong

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