TY - JOUR
T1 - Intra-articular analgesia for arthroscopic meniscectomy
AU - Lyons, B.
AU - Lohan, D.
AU - Flynn, C. G.
AU - Joshi, G. P.
AU - O'Brien, T. M.
AU - McCarroll, M.
N1 - Copyright:
Copyright 2018 Elsevier B.V., All rights reserved.
PY - 1995
Y1 - 1995
N2 - Intra-articular morphine has been shown to provide prolonged analgesia after arthroscopic knee surgery; the addition of local anaesthetic agents has been reported to improve this analgesic effect. Pethidine possesses local anaesthetic properties, and therefore this study was designed to evaluate its analgesic efficacy after arthroscopic meniscectomy. Sixty patients were allocated randomly to receive intra-articular injections of pethidine 50 mg, morphine 5 mg or saline after elective arthroscopic meniscectomy. Postoperative pain was assessed using an interval visual analogue scale and measuring analgesic requirements. Both treatment groups had significantly lower pain scores compared with the control group. Patients in the pethidine group had lower pain scores than those in the morphine group at 0.5, 1 and 2 h, but significantly higher scores at 12 and 24 h. These observations suggest that the local anaesthetic effect of pethidine may be responsible for the improved early analgesia, but its duration of action appears to be less than that of morphine.
AB - Intra-articular morphine has been shown to provide prolonged analgesia after arthroscopic knee surgery; the addition of local anaesthetic agents has been reported to improve this analgesic effect. Pethidine possesses local anaesthetic properties, and therefore this study was designed to evaluate its analgesic efficacy after arthroscopic meniscectomy. Sixty patients were allocated randomly to receive intra-articular injections of pethidine 50 mg, morphine 5 mg or saline after elective arthroscopic meniscectomy. Postoperative pain was assessed using an interval visual analogue scale and measuring analgesic requirements. Both treatment groups had significantly lower pain scores compared with the control group. Patients in the pethidine group had lower pain scores than those in the morphine group at 0.5, 1 and 2 h, but significantly higher scores at 12 and 24 h. These observations suggest that the local anaesthetic effect of pethidine may be responsible for the improved early analgesia, but its duration of action appears to be less than that of morphine.
KW - Analgesia, postoperative
KW - Analgesic techniques,intraarticular
KW - Analgesics opioid, morphine
KW - Analgesics opioid, pethidine
KW - Surgery, orthopaedic
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U2 - 10.1093/bja/75.5.552
DO - 10.1093/bja/75.5.552
M3 - Article
C2 - 7577279
AN - SCOPUS:0028832562
VL - 75
SP - 552
EP - 555
JO - British Journal of Anaesthesia
JF - British Journal of Anaesthesia
SN - 0007-0912
IS - 5
ER -