Author/Editor		Krčevski-Škvarč, N; Kamenik, M
Title		Pooperativna intraartikularna analgezija z morfijem in bupivakainom
Translated title		Postoperative intraarticular analgesia with morphine and bupivacaine
Type		članek
Source		In: Hribar-Habinc M, Apfel M, editors. Zbornik predavanj 2. kongres anesteziologov Slovenije z mednarodno udeležbo; 1997 okt 23-25; Portorož. Ljubljana: Slovensko zdravniško društvo, Slovensko združenje za anesteziologijo in intenzivno medicino,
Publication year		1997
Volume		str. 182-7
Language		slo
Abstract		Backaround. Peripheral morphine analgesia has become a clinical method for postoperative pain relief following knee arthroscopic surgery. The efficacy of the method is still doubtful. We studied postoperative intraarticular analgesia with morphine and bupivacaine in two different intraarticular drug applications. Method. The study included 69 patients after arthroscopic knee surgery under spinal anesthesia. At the end of surgery the first group of 37 patients received 25 ml of 0.25% bupivacaine with 3 mg morphine. The second group of 32 patients received a bolus infusion of 50 ml of 0.25% bupivacaine with 2.5 mg morphine and additionally a half-hour knee perfusion with the same mixture. Postoperative analgesia was assessed with: the time of pain appearance, pain assessment according to the visual analogue scale (VAS:1-10) and additional analgesic consumption. We observed the side effects of morphine and bupivacaine. Results. Patients from the first group reported pain appearance 10.4 +- 4.9 h after intraarticular injection and assessed it to 3.1 +- 1.8 according to VAS. Patients from the second group reported pain appearance 12.6 +- 7.1 h after intraarticular infusion and assessed it to 3.1 +- 2.2 according to VAS. 56.8% of patients in the first group and 40.6% of those in the second group had need for an additional analgesic. Conclusion. All patients had satisfactory postoperative analgesia without side effects of morphine and bupivacaine. There was no statistically significant difference in the time of pain appearance and pain intensity score between the groups with different approaches to intraarticular drug application.
Descriptors		PAIN, POSTOPERATIVE KNEE ARTHROSCOPY PAIN MEASUREMENT ANALGESIA MORPHINE BUPIVACAINE INJECTIONS, INTRA-ARTICULAR