Comparison of Analgesic Effects of Pure Bupivacaine and Morphine Added as Bupivacaine Adjuvant in USG Guided Adductor Canal Block Following Total Knee Arthroplasty
Patients were randomly divided into two groups asGroup BM (bupivacaine+morphine) and Group B (bupivacaine) by closed envelope method, and then the groups werecompared with each other.Results: In Group BM, compared to Group B, there was a significant decrease in visual analogue scale (VAS) valuesduring rest and movement at 8th hour, 12-24 hours time zone analgesic consumption and additional analgesia usage.Conclusion: We conclude that the morphine added to bupivacaine in the adductor canal block reduces the VAS valueat 8th hour and analgesic consumption.
📌 3 Key Takeaways
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Objective & Hypothesis:Objectives: Total knee arthroplasty (TKA) is an operation that causes severe postoperative pain.
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Key Findings & Data:Adductor canal block(ACB) is separated from the other peripheral blocks as a method that can provide analgesia by sensory blockade only.The aim of this study was to compare the analgesic effect of morphine-bupivacaine with pure bupivacaine in USGguided ACB after TKA.Methods: Sixty patients aged between 40-80 years with ASA I-III physical status who were scheduled for TKA surgeryin our hospital were included in this prospective randomized study.
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Conclusion & Impact:Patients were randomly divided into two groups asGroup BM (bupivacaine+morphine) and Group B (bupivacaine) by closed envelope method, and then the groups werecompared with each other.Results: In Group BM, compared to Group B, there was a significant decrease in visual analogue scale (VAS) valuesduring rest and movement at 8th hour, 12-24 hours time zone analgesic consumption and additional analgesia usage.Conclusion: We conclude that the morphine added to bupivacaine in the adductor canal block reduces the VAS valueat 8th hour and analgesic consumption.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters
Abstract
Objectives: Total knee arthroplasty (TKA) is an operation that causes severe postoperative pain. Adductor canal block(ACB) is separated from the other peripheral blocks as a method that can provide analgesia by sensory blockade only.The aim of this study was to compare the analgesic effect of morphine-bupivacaine with pure bupivacaine in USGguided ACB after TKA.Methods: Sixty patients aged between 40-80 years with ASA I-III physical status who were scheduled for TKA surgeryin our hospital were included in this prospective randomized study. Patients were randomly divided into two groups asGroup BM (bupivacaine+morphine) and Group B (bupivacaine) by closed envelope method, and then the groups werecompared with each other.Results: In Group BM, compared to Group B, there was a significant decrease in visual analogue scale (VAS) valuesduring rest and movement at 8th hour, 12-24 hours time zone analgesic consumption and additional analgesia usage.Conclusion: We conclude that the morphine added to bupivacaine in the adductor canal block reduces the VAS valueat 8th hour and analgesic consumption.
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Cite This Article
YILDIZ, İ., KARAGÖZ, İ., TÜRKOĞLU, K., YOLDAŞ, H., BİLGİ, M., DEMİRHAN, A., ÖZTURAN, K. E., IŞIK, C. (2022). Comparison of Analgesic Effects of Pure Bupivacaine and Morphine Added as Bupivacaine Adjuvant in USG Guided Adductor Canal Block Following Total Knee Arthroplasty. Eurasian Journal of Medical Investigation, Cilt: 4 - Sayı: 3, 327–331. https://ajindex.com/articles/508632
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