• Acta Anaesthesiol Scand · Nov 1997

    Randomized Controlled Trial Clinical Trial

    Spinal, epidural or propofol anaesthesia for out-patient knee arthroscopy?

    • V Dahl, C Gierløff, E Omland, and J C Raeder.
    • Department of Anaesthesiology, Baerum Hospital, Ullevål University Hospital, Oslo, Norway.
    • Acta Anaesthesiol Scand. 1997 Nov 1;41(10):1341-5.

    BackgroundWe have compared three different methods of anaesthesia for out-patient knee arthroscopy in terms of perioperative conditions, postoperative pain, time taken and economy.Methods91 ASA I-II patients scheduled for elective knee arthroscopy were included. After premedication with diazepam 10 mg and naproxene 500 mg orally, they were randomly assigned into one of three groups: Group S (n=32) received spinal anaesthesia with lidocaine 50 mg/ml 1.5-2 ml in 7.5% glucose through a 27-G Quincke needle, Group E (n=29) received epidural anaesthesia with mepivacaine 20 mg/ml and epinephrine 5 microg/ml, 15-20 ml, and Group P (n=30) received propofol anaesthesia with a bolus induction of 2 mg/kg followed by infusion.ResultsThe time from start of anaesthesia until start of operation was significantly less in Group P than in the two other Groups: 7.4+/-5.4 min as compared to 23.0+/-4.8 min in Group S and 31.0+/-9.1 min in Group E (mean+/-SD, P<0.05). After end of surgery, the duration of the postoperative regional block was 75+/-28 min in Group S and 125+/-79 min in Group E (P<0.05). In Group S and Group E the postoperative pain was significantly less than in Group P at admission to the recovery unit and 60, 120 and 180 min later (P<0.05). The overall incidence of post-operative nausea or vomiting was less than 5% with no differences between the groups. One patient in Group E had block failure and one patient in Group S had a post-spinal headache. The perioperative costs of drugs and disposables were highest in Group P (30 USD) and lowest in Group S (6.5 USD).ConclusionPropofol anaesthesia results in the shortest stay in the operation theatre but a higher degree of postoperative pain and a higher cost of drugs and disposables.

      Pubmed     Full text   Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…

What will the 'Medical Journal of You' look like?

Start your free 21 day trial now.

We guarantee your privacy. Your email address will not be shared.