Comparison of Effect of Intraarticularly Delivered Levobupivacaine Morphine and Tramadol Combinations on Postoperative Analgesia Following Arthroscopic Knee Surgery

Abstract

ÖZETObjective: We compared the effects of intraarticularly administered levobupivacaine, morphine and tramadol combinations used for postoperative analgesia after arthroscopic knee surgery. Material and Methods:Sixty six patients who underwent arthroscopic knee surgery were divided randomly into three groups as follows. Patients in group L received 100 mg levobupivacaine, group LM received 100 mg levobupivacaine+10 mg morphine, and group LT received 100 mg levobupivacaine + tramadol via intraarticular route 10 minutes before tourniquet deflation. , and 24 th hours, and on 3 rd and 7th postoperative days. Additional analgesic was administered to patients whom VAS was ≥5. Results:No difference was found regarding demographic and hemodynamic data. Postoperative analgesia was found to be effective in all of the groups. There was no difference when comparing postoperative hemodynamic parameters and sedation levels between the groups. The groups were also statistically similar regarding additional analgesia requirements. Conclusion:We concluded that administration of levobupivacaine alone, levobupivacaine plus morphine, and levobupivacaine plus tramadol intraarticularly during arthroscopic knee surgery provided effective postoperative analgesia.

Turkish Version of Kolcaba's Immobilization Comfort Questionnaire: A Validity and Reliability Study

“…Pulmonary, cardiovascular, gastrointestinal, metabolic, neuroendocrine and psychological changes occur as a physiological response to surgical trauma and stress [21]. Therefore, after arthroscopic surgery, for which the patient is hospitalized for a short time, reducing pain in the first 24 hours [16] and providing comfortable postoperative care are important.…”

“…Therefore, after arthroscopic surgery, for which the patient is hospitalized for a short time, reducing pain in the first 24 hours [16] and providing comfortable postoperative care are important. The patient's experiences of great pain will result in decreased comfort and satisfaction [21].…”

“…The fact that there are minimal translation difficulties related to the VAS has led to a great number of crosscultural adaptations of this tool [35]. The VAS has been used in Turkish studies [21,22,36].…”