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Randomized Controlled Trial Comparative Study
Comparison of intra-articular analgesics for analgesia after arthroscopic knee surgery.
- S K Rao and P S Rao.
- Department of Orthopaedics, KMC Hospital, Manipal 576 104 (Udupi Dist), Karnataka State, India.
- Med. J. Malaysia. 2005 Dec 1;60(5):560-2.
AbstractPost Arthroscopic intra-articular analgesia is a better method to avoid post-operative pain after arthroscopic surgery, thus avoiding the adverse effects of systemic analgesics. In this prospective randomized double blind study conducted on 90 patients, 30 patients in group A received 20 ml of intra-articular saline, 30 patients in Group B received 10 ml of intra-articular saline and 10 ml of 0.25% bupivacaine and 30 patients in Group C received 10 ml of 0.25% bupivacaine, 1 ml (30 mg) of ketorolac and 9 ml of saline intra-articularly. Ambulatory status, duration of analgesia and requirement for supplemented analgesia were compared in these three groups. Patients receiving this intra-articular analgesic combination of bupivacaine and ketorolac required significantly less supplemental postoperative analgesics. This combination significantly prolonged the duration of analgesia. Patients receiving this combination of drugs for intra-articular analgesia ambulated earlier.
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