Comparison between the analgesic effects of intra-articular ropivacaine and<br /> ropivacaine plus fentanyl in arthroscopic knee surgery
Journal Title: Eklem Hastaliklari ve Cerrahisi - Year 2006, Vol 17, Issue 2
Abstract
Objectives: The effect of ropivacaine alone or in combination with fentanyl was evaluated on postoperative analgesia and analgesic requirements after arthroscopic knee surgery. Patients and methods: The study included 60 ASA I-II patients (age range 18 to 65 years) undergoing arthroscopic meniscectomy. Following surgery under general anesthesia, the patients were randomly divided into three groups to receive intra-articular physiological saline (controls, n=20), ropivacaine 150 mg (n=20), or ropivacaine 150 mg with fentanyl 50 µg (n=20). The patients were monitored with respect to heart rate and mean arterial pressure, and pain was estimated using a visual analog scale (VAS) after 5, 15, and 30 minutes, and 1, 2, 4, 8, and 12 hours of operation. Analgesic requirements and adverse effects were recorded. Results: There were no significant differences between the two ropivacaine groups with respect to VAS scores and analgesic need (p>0.05). Pain scores in the control group were at all times higher than both ropivacaine groups (p
Authors and Affiliations
Handan Birbicer, Sebnem Atici, Nurcan Doruk, Irfan Ayan, Davud Yapici, Ugur Oral
Keywords
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