Postarthroscopy analgesia using intraarticular levobupivacaine and intravenous dexketoprofen trometamol

Verfasser / Beitragende:
[Sevtap Sahin, Dilek Memiş, Erkan Celik, Necdet Sut]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/12(2015-12-01), 3516-3522
Format:
Artikel (online)
ID: 605457484
LEADER caa a22 4500
001 605457484
003 CHVBK
005 20210128100223.0
007 cr unu---uuuuu
008 210128e20151201xx s 000 0 eng
024 7 0 |a 10.1007/s00167-014-3191-2  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00167-014-3191-2 
245 0 0 |a Postarthroscopy analgesia using intraarticular levobupivacaine and intravenous dexketoprofen trometamol  |h [Elektronische Daten]  |c [Sevtap Sahin, Dilek Memiş, Erkan Celik, Necdet Sut] 
520 3 |a Purpose: The aim of this prospective study was to determine the efficacy of intraarticular levobupivacaine with and without intravenous dexketoprofen trometamol for postarthroscopy analgesia. Methods: Sixty patients who underwent arthroscopic knee surgery were randomly assigned to three treatment groups. When the surgical procedure was completed, patients received the following treatments: group I (n=20) patients received 20mL intraarticular normal saline and 2mL intravenous dexketoprofen trometamol (50mg); group II (n=20) patients received 20mL intraarticular 0.5% levobupivacaine (100mg) and 2mL intravenous normal saline; and group III (n=20) patients received 20mL intraarticular 0.5% levobupivacaine (100mg) and 2mL intravenous dexketoprofen trometamol (50mg). The visual analogue scale (VAS) was used, and the total analgesic consumption was assessed at 1, 2, 4, 6, 12, and 24h post-operatively. Results: The VAS scores at 1, 2, 4, 6, 12, and 24h post-operatively were significantly increased in group I and group II compared with group III (p<0.05). The average VAS score during the first 24h post-operatively was significantly lower in group III than in group I and group II (p<0.001). Total meperidine consumption was significantly lower in group III than in groups I and II (p<0.001). Conclusion: Intraarticular levobupivacaine with adjuvant intravenous dexketoprofen trometamol administration provided better pain relief and less analgesic requirement after arthroscopic knee surgery during the first 24h than that induced by dexketoprofen alone or levobupivacaine intraarticular alone. Level of evidence: II. 
540 |a Springer-Verlag Berlin Heidelberg, 2014 
690 7 |a Arthroscopy  |2 nationallicence 
690 7 |a Post-operative analgesia  |2 nationallicence 
690 7 |a Post-operative pain  |2 nationallicence 
690 7 |a Dexketoprofen trometamol  |2 nationallicence 
690 7 |a Levobupivacaine  |2 nationallicence 
700 1 |a Sahin  |D Sevtap  |u Department of Anesthesiology and Reanimation, Trakya University Medical Faculty, 22030, Edirne, Turkey  |4 aut 
700 1 |a Memiş  |D Dilek  |u Department of Anesthesiology and Reanimation, Trakya University Medical Faculty, 22030, Edirne, Turkey  |4 aut 
700 1 |a Celik  |D Erkan  |u Department of Anesthesiology and Reanimation, Trakya University Medical Faculty, 22030, Edirne, Turkey  |4 aut 
700 1 |a Sut  |D Necdet  |u Department of Biostatistics, Trakya University Medical Faculty, Edirne, Turkey  |4 aut 
773 0 |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/12(2015-12-01), 3516-3522  |x 0942-2056  |q 23:12<3516  |1 2015  |2 23  |o 167 
856 4 0 |u https://doi.org/10.1007/s00167-014-3191-2  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00167-014-3191-2  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Sahin  |D Sevtap  |u Department of Anesthesiology and Reanimation, Trakya University Medical Faculty, 22030, Edirne, Turkey  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Memiş  |D Dilek  |u Department of Anesthesiology and Reanimation, Trakya University Medical Faculty, 22030, Edirne, Turkey  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Celik  |D Erkan  |u Department of Anesthesiology and Reanimation, Trakya University Medical Faculty, 22030, Edirne, Turkey  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Sut  |D Necdet  |u Department of Biostatistics, Trakya University Medical Faculty, Edirne, Turkey  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/12(2015-12-01), 3516-3522  |x 0942-2056  |q 23:12<3516  |1 2015  |2 23  |o 167