The efficacy of regional anesthesia for outpatient anterior cruciate ligament reconstruction

Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association
S J NakamuraM T Galloway

Abstract

Arthroscopically assisted anterior cruciate ligament (ACL) reconstruction is a common orthopaedic procedure. Until recently, the majority of these procedures have been performed on an impatient basis. This retrospective study evaluated 67 consecutive patients who underwent an arthroscopically assisted, autogenous bone-patellar ligament-bone ACL reconstruction that was supervised by the same surgeon. General endotracheal anesthesia was used for 36 patients and a femoral sciatic nerve block was used in 31 patients. Only patients who underwent either isolated ACL reconstructions, or those combined with either medial or lateral meniscectomies, were included. No statistically significant differences in either the mean anesthesia time or operative time existed between the general anesthesia and regional anesthesia groups. Patients receiving regional anesthesia did require a significantly longer recovery room stay than those who received general anesthesia. Most of the patients who received general anesthesia had inpatient procedures. In the general anesthesia group, 31 of 36 patients spent at least one night in the hospital. Three of 30 patients who received regional anesthesia required hospital admission. There were no differences b...Continue Reading

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Citations

Jun 3, 1999·The Surgical Clinics of North America·P W Peng, V W Chan
Oct 11, 2003·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·J Winslow Alford, Paul D Fadale
Oct 3, 2006·Current Opinion in Anaesthesiology·A Bach
Mar 15, 2005·Anesthesiology Clinics of North America·Holly EvansStephen M Klein
Dec 21, 2002·Best Practice & Research. Clinical Anaesthesiology·Chester C Buckenmaier
Oct 22, 2016·Orthopaedics & Traumatology, Surgery & Research : OTSR·L BaverelUNKNOWN French Arthroscopic Society
Aug 3, 2014·The American Journal of Sports Medicine·Nathan A MallGeorge A Paletta
Dec 19, 2009·Clinical Orthopaedics and Related Research·Sameer H NagdaStephen J Lombardo
Nov 23, 2005·Anesthesia and Analgesia·Stephen M KleinSusan M Steele
Mar 28, 2020·Journal of Comparative Effectiveness Research·Rohan JotwaniRobert S White
Oct 14, 2020·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Yining LuBrian Forsythe

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