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- W2318062200 abstract "To compare the efficacy of intraarticularly injected bupivacaine with levobupivacaine when administered in combination with morphine and adrenaline for post-operative analgesia and functional recovery after knee surgery.Sixty American Society of Anesthesiologists physical status I-II patients were randomized into three groups: Group B was administered 30 mL isobaric 0.5% bupivacaine, 2 mg morphine and 100 μg adrenaline, Group L was administered 30 mL 0.5% levobupivacaine, 2 mg morphine and 100 μg adrenaline, and Group C was administered 30 mL 0.9% NaCl solution into the knee joint by the surgeon at the end of surgery. The morphine usage and visual analog pain scores were recorded regularly afterwards. We also recorded the time that elapsed before each patients' first mobilization, positive response to straight leg raising, tolerance to 30-50° knee flexion, recovery of quadriceps reflexes and discharge from the hospital. We also recorded patient and surgeon satisfaction.The pain scale values were lower in Groups B and L than in Group C at 2, 4, 6, 8, 12 and 24 hours post-operatively (all p<0.001). In Groups B and L, the time for first analgesic request was longer (p<0.01), the morphine consumption was lower (p<0.001), and the duration of morphine usage was shorter (p<0.001). The times to positive response to straight leg raising, tolerance to 30-50° knee flexion and the first mobilization were shorter in Groups B and L (p<0.001 for all).After arthroscopic knee surgery, intraarticular levobupivacaine combined with morphine and adrenaline decreases analgesic requirements, shortens the postoperative duration of analgesic use and hastens mobilization as effectively as bupivacaine.Morfin ve epinefrin eklenerek intraartiküler uygulanan bupivakain ve levobupivakainin postoperatif ağrı ve fonksiyonel iyilşeme üzerine etkisini incelemek.ASA I–II 60 hasta randomize edilerek 3 gruba ayrıldılar: Grup B; 30 mL izobarik %0.5 bupivakain+2 mg morfin+100 mg adrenalin, Grup L; 30 mL %0.5 levobupivakain+2 mg morfin+100 mg adrenalin, Grup K; 30 mL serum fizyolojik cerrahi ekip tarafından operasyon bitiminde intraartiküler olarak uygulandı. Postoperatif morfin tüketimi, ağrı skorları, ilk mobilizasyon zamanları, 30–50 derece diz fleksiyonuna tolerans zamanları kaydedildi.Ağrı skorları Grup B ve L’de Grup K’ya göre 2, 4, 6, 8, 12 ve 24 satlerde daha düşük bulundu (p<0.001, tüm zamanlar için). Grup B ve L’de, ilk analjezik istem zamanı daha uzun (p<0.01), morfin tüketimi daha az (p<0.001) ve morfin kullanım süresi daha kısa bulundu (p<0.001). İlk mobilizasyon zamanları, 30–50 derece diz fleksiyonuna tolerans zamanları Grup B ve L’de daha kısa bulundu (p<0.001).Artroskopik diz cerrahsinde, intraartiküler levobupivakain, morfin ve adrenalin kombinasyonu bupibakaine benzer şekilde postoperatif analjezik gereksinimini, analjezik ihtiyaç süresini kısaltmakta ve mobilizasyonu iyileştirmektedir." @default.
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- W2318062200 date "2013-06-28" @default.
- W2318062200 modified "2023-09-26" @default.
- W2318062200 title "Comparison of Intraarticular Bupivacaine and Levobupivacaine with Morphine and Epinephrine for Knee Arthroscopy" @default.
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- W2318062200 doi "https://doi.org/10.5152/eajm.2013.18" @default.
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