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  • Pooperativna intraartikularna analgezija z morfijem in bupivakainom = [Postoperative intraarticular analgesia with morphine and bupivacaine]
    Krčevski-Škvarč, Nevenka ; Kamenik, Mirt
    Backaround. Peripheral morphine analgesia has become a clinical method for postoperative pain relief following knee arthroscopic surgery. The efficacy ofthe 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 samemixture. 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 inthe time of pain appearance and pain intensity score between the groups withdifferent approaches to intraarticular drug application.
    Vir: Zbornik predavanj = Proceedings (Str. 182-187)
    Vrsta gradiva - prispevek na konferenci
    Leto - 1997
    Jezik - slovenski
    COBISS.SI-ID - 7109081

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