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Comparison of intra-articular fentanyl and intra-articular bupivacaine for post-operative pain relief after knee arthroscopy

Published online by Cambridge University Press:  16 August 2006

J. S. Pooni ,
K. Hickmott ,
D. Mercer ,
P. Myles  and
Z. Khan
J. S. Pooni
Affiliation:
Princess Royal Hospital, Telford, Shropshire, UK
K. Hickmott
Affiliation:
Princess Royal Hospital, Telford, Shropshire, UK
D. Mercer
Affiliation:
Princess Royal Hospital, Telford, Shropshire, UK
P. Myles
Affiliation:
Princess Royal Hospital, Telford, Shropshire, UK
Z. Khan
Affiliation:
Princess Royal Hospital, Telford, Shropshire, UK
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Abstract

A randomized double-blinded study consisting of 107 patients was conducted to compare the effect on post-operative pain relief of intra-articular fentanyl and intra-articular bupivacaine after knee arthroscopy. The results showed that intra-articular bupivacaine produced superior analgesia in the immediate post-operative period. At 2 h post-operatively, the intra-articular bupivacaine group had a mean pain score of 2.0 (standard deviation 2.1, P <0.05) compared with the intra-articular fentanyl group which had a mean pain score of 3.2 (standard deviation 2.3, P <0.05) After 2 h post-operatively, intra-articular bupivacaine and intra-articular fentanyl had a similar effect on pain scores. The mean pain score 18 h post-operatively was 2.7 for the intra-articular bupivacaine group (standard deviation 2.2, P value 0.6) compared with the intra-articular fentanyl group which had a mean pain score of 2.8 (standard deviation 1.9, P value 0.6).

Keywords

anaesthetic techniqueslocalanalgesicsopioidspainassessmentpost-operativearthroscopyday care
Type
Original Article
Information
European Journal of Anaesthesiology , Volume 16 , Issue 10 , October 1999 , pp. 708 - 711
Copyright
1999 European Society of Anaesthesiology

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