Author/Editor		Veselko, M; Senekovič, V; Tonin, M
Title		Ambulantni artroskopski posegi v lokalni anesteziji - analiza 142 posegov
Translated title		Outpatient arthroscopic procedures under local anesthesia - analysis of 142 procedures
Type		članek
Source		Zdrav Vestn
Vol. and No.		Letnik 64, št. 3
Publication year		1995
Volume		str. 141-3
Language		slo
Abstract		Background. Arthroscopic procedure under local anesthesia is well known in certain parts of the world, while it is seldom performed in our country. The object of the study was to verify acceptance of our patient population for arthroscopic surgery under local anesthesia. Methods. After exclusion of patients with possible contraindications, decision for arthroscopy under local anesthesia was made by the patients. In one year, 142 arthroscopies were performed. 0.66 percent lidocaine (Xylocaine) with vasoconstrictor was injected around portals and instilled into the joint for anesthesia. After the procedure patients filled in a questionnaire, rating their discomfort. Results of prospective study were analysed. Results. In one year 142 outpatient arthroscopic procedures of the knee joint were performed. 41 were diagnostic and 101 operative arthroscopies. 8 arthroscopies were converted into arthrotomies under local anesthesia. There were no complications. 80.3 percent of patients had no pain or discomfort during operation, 10,2 percent experienced a moderate discomfort, 4.9 percent experienced pain only while introducing the arthroscope, and 4.2 percent experienced intorelable pain or discomfort, so that procedure had to be discontinued. Conclusions. The results of the study demonstrate high acceptance of our population for arthroscopies under local anesthesia (90.9 percent), comparable to other studies.
Summary		Izhodišča. Artroskopski posegi v lokalni anesteziji so v svetu precej razširjeni, pisnih podatkov o razširjenosti uporabe lokalne anestezije pri artroskopskih posegih v Sloveniji pa nismo zasledili. Z raziskavo smo preverili sprejemljivost naše populacije za artroskopije v lokalni anesteziji in učinkovitost te metode. Metode. Artroskopijo v lokalni anesteziji smo kot alternativo artroskopiji v splošni ali regionalni anesteziji predlagali bolnikom brez preobčutljivostnih reakcij v anamnezi. Za artroskopski poseg v lokalni anesteziji so se odločili bolniki sami. Kot anestetik smo uporabili 60 ml 0,66 odst. lidocaina (Xylocain) z dodatkom vazokonstriktorja. Po posegu so bolniki izpolnili anketni list. V prospektivno študijo smo vključili 142 bolnikov. Rezultati. V letu dni smo opravili 142 ambulantnih artroskopskih posegov kolenskega sklepa v lokalni anesteziji. 41 je bilo diagnostičnih, 101 pa operativnih posegov. 8 artroskopskih posegov smo nadaljevali v artrotomijo v lokalni anesteziji. 114 anketiranih bolnikov (80,3 odst.) po opravljenem posegu med posegom ni čutilo bolečin, niti neugodja, nevzdržne bolečine pa je imelo šest bolnikov (4,2 odst.). Sprejemljivost bolnikov za artroskopije v lokalni anesteziji je bila 90,9 odst.. Zapletov ni bilo. Zaključki. Raziskava je pokazala, da je sprejemljivost naše populacije in učinkovitost metode primerljiva z navedbami v literaturi in da so tudi pri nas artroskopije v lokalni anesteziji ustrezna alternativa artroskopijam v splošni ali regionalni anesteziji.
Descriptors		ARTHROSCOPY ANESTHESIA, LOCAL AMBULATORY SURGERY KNEE INJURIES