Can Local Anesthesia Be Recommended for Routine Use in Elective Knee Arthroscopy? A Comparison Between Local, Spinal, and General Anesthesia

Jacobson, Eva; Forssblad, Magnus; Rosenberg, Jan; Westman, Lars; Weidenhielm, Lars

doi:10.1016/s0749-8063(00)90034-3

Cited by 73 publications

(69 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…For this, we used a VAS, a method that has been widely used in the literature (14)(15)(16)(17) . Our study demonstrated that the amount of pain at this time was similar in the two groups, without any statistical difference, thus showing that the efficacy of postoperative analgesia with local anesthesia using propofol is equivalent to analgesia achieved through spinal block.…”

Section: Discussionmentioning

confidence: 99%

“…Other restrictions also cited in the literature include: patients who are very anxious, acute injuries, surgery on children, very lengthy procedures (20) , hypertrophic synovitis, joint stiffness, pain or hip stiffness (21) . Nonetheless, the literature reveals that arthroscopy can be carried out successfully under local anesthesia in 75% to 92% of all the procedures in which it is possible to use this technique (5,16) . In conclusion, local anesthesia in association with sedation using propofol provides intraoperative analgesia that is comparable with what anesthetic block provides.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Estudo comparativo entre anestesia espinhal e anestesia local com infusão de propofol para artroscopia do joelho

Silva¹,

Matos²,

Madureira³

et al. 2012

Rev. bras. ortop.

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Estudo comparativo entre anestesia espinhal e anestesia local com infusão de propofol para artroscopia do joelho

Silva¹,

Matos²,

Madureira³

et al. 2012

Rev. bras. ortop.

View full text Add to dashboard Cite

“…To measure pain thresholds, a visual analogue scale from 1 to 9 was used and then made into three groups: mild (1-3), moderate (4-6) and severe (7)(8)(9). Patient Mobilization was measured 4,6,8,10,12,14, and 16 hours post operation. The findings of the study were independent of gender, age, and operation procedure used.…”

Section: Introduction and Research Objectivementioning

confidence: 99%

Arthroscopy of the Knee; Impact of Intraarticular Pain Management

Ameen

2016

TPMJ

View full text Add to dashboard Cite

ABSTRACT... Introduction: Arthroscopy has a significant efficacy amongst patients, but is dependent on the anasthesia used. This is particularly important, as research on knee arthroscopy has established importance on anasthesia, particularly the type and number used. Study Research Objective: This study conducted over a period of 2 years, included all patients undergoing knee arthroscopy, irrespective of age, gender and underlying conditions (whether traumatic, degenerative, infective or inflammatory). In this study the Impact of postoperative pain management on patient recovery was evaluated. There is evidence that the knee joint has morphine receptors, thus nalbuphin was used. Study Design: Randomized Case Control Study. Setting: Department of KRL Hospital. Period: Jan 2014 to Dec 2015. Methodology: Randomization was done through the random number generator function provided by Open EPI Ver. 3.01. The random numbers generated were compared with serial numbers assigned to patients through consent forms and then assigned to the three groups accordingly (Control, Lignocaine, Lignocaine + Nalbucin). Out of 117 patients 6 patients were given general anesthesia and 111 were given spinal anesthesia. Arthroscopy was done under tourniquet control. To measure pain thresholds, a visual analogue scale from 1 to 9 was used and then made into three groups: mild (1-3), moderate (4-6) and severe (7-9). Patient Mobilization was measured 4, 6, 8, 10, 12, 14, and 16 hours post operation. Analysis was done using OpenEPI Ver. 3.01 and Microsoft Excel 2013 separately for both Lignocaine and Lignocaine + Nalbuphin. A systematic literature review was done to compare the results found in this study with those found in this study. For this purpose, the following string was used in Google Scholar and Pubmed: "Arthroscopy" AND "TB" AND "Synovial Biopsy" and "Postoperative Pain Management" AND "Arthroscopy" AND "Knee Joint". Results: Interventions of Lignocaine and Lignocaine + Nalbucin were more effective than control. Lignocaine + Nalbucin combined showed higher chances of mobility when compared to Lignocaine and control. Systematic Literature Review also provided similar results. Conclusion: If this procedure is performed with the correct expertise and the patient given intra articular lignocaine and Nalbuphin, the patients show early and good recovery and therefore they can be discharged the same day thus reducing the cost on the patient as well as the hospital.

show abstract

“…4 Still, many orthopaedic surgeons are reluctant to use local anaesthesia for fear of having to convert to general anaesthesia because of inadequate pain control. 4,5 It has been reported that a significant number of patients have moderate to severe pain 24 hours after ambulatory surgery in general and knee arthroscopy in particular, 2,6 and sometimes, this pain would become worst and affect the sleep and patient's activity level; 7 this pain may impede early recovery of many patients, thereby increasing the total cost of such procedures. 8 Intra-articular analgesia is useful in reducing patients' postoperative disability.…”

Section: Introductionmentioning

confidence: 99%

Comparison of the effects of intra-articular sole ropivacaine and combined ketorolac and ropivacaine for pain control after knee arthroscopy surgery

Rokhtabnak

Bouyeh

Siamdust

et al. 2014

British Journal of Pain

View full text Add to dashboard Cite

Introduction: Effective pain relief is important after arthroscopic knee surgery to permit initiation of daily activities of life. This study is performed in order to investigate the effect of multi-model therapy for pain control after surgery. This clinical, randomized and double-blind trial is conducted on patients who get knee arthroscopy surgery. Methods: Of these patients, 40 were divided into two groups by Block Randomization method: 1 -sole ropivacaine group (150 mg); 2 -combined ketorolac (30 mg); and ropivacain (150 mg) group. These drugs were injected intra-articularly at the end of knee arthroscopic surgery. The first consequence including measurement of pain severity after entrance to recovery room and 2, 4, 8, 12, 18 and 24 hours after surgery were evaluated according to the visual analogue pain score. The second consequence, including nausea, vomiting and sedation, was assessed by expert nurses in the recovery room and surgery part according to nausea and vomiting scale and Ramsay sedation scale, respectively. Results: All groups had excellent analgesia at 0 and 4 hours, postoperatively. Group-combined ketorolac and ropivacaine had significantly lower visual analogue pain score as well as higher sedative scale at 8, 12, 18 and 24 hours after surgery at rest and during movement compared with the other group (p < 0.05). Moreover, there was no statistical difference between groups in regard of nausea and vomiting. Conclusion: Addition of ketolorac to ropivacaine intra-articularly in arthroscopic knee surgery enhances analgesic efficacy of local anaesthetics and cause more sedation after surgery.

show abstract

Can Local Anesthesia Be Recommended for Routine Use in Elective Knee Arthroscopy? A Comparison Between Local, Spinal, and General Anesthesia

Cited by 73 publications

References 9 publications

Estudo comparativo entre anestesia espinhal e anestesia local com infusão de propofol para artroscopia do joelho

Estudo comparativo entre anestesia espinhal e anestesia local com infusão de propofol para artroscopia do joelho

Arthroscopy of the Knee; Impact of Intraarticular Pain Management

Comparison of the effects of intra-articular sole ropivacaine and combined ketorolac and ropivacaine for pain control after knee arthroscopy surgery

Contact Info

Product

Resources

About