AI Summary & Key Takeaways
AI InsightResults: None of the patients in Group IT needed additional analgesic treatment in the first 24 hours, whereas 14.3 %, 25.0 % and 72.2 % of the patients needed additional analgesic administration in the groups IA, IM and C, respectively (p
📌 3 Key Takeaways
Abstract
Aim: The aim of this study was to investigate postoperative analgesic effectiveness of intraarticular (IA), intramuscular (IM) or intrathecal (IT) administration of morphine in arthroscopic knee surgery. Materials and Methods: Seventy-six patients with ASA physical status I-II, aged 18 to 65 years, undergoing arthroscopic knee surgery were included in the study. Morphine (10 mg) was given via IA and IM in groups IA (n:21) and IM (n:16), respectively, at the end of the surgical procedure. IT 0.1 mg morphine was administered together with the local anesthetic in Group IT (n:21). Morphine was not applied to 18 control patients (Group C). Visual analogue scale scores for pain were analyzed. Additional analgesic requirement, side effects of morphine and hemodynamic parameters were compared between the groups. Results: None of the patients in Group IT needed additional analgesic treatment in the first 24 hours, whereas 14.3 %, 25.0 % and 72.2 % of the patients needed additional analgesic administration in the groups IA, IM and C, respectively (p
Özet
Amaç: Bu çalışmada üç farklı yolla intraartiküler (İA) intratekal (İT) veya intramüsküler (İM) verilen morfinin postoperatif analjezik etkinliği araştırıldı. Gereç ve Yöntem: Artroskopik diz cerrahisi uygulanacak 18-65 yaş arası 76 ASA I-II hasta çalışmaya alındı. İA (n:21) ve İM (n:16) grubunda cerrahi işlemin sonunda morfin 10 mg İA ve 10 mg İM yolla, İT (n:21) grubunda ise 0.1 mg morfin lokal anestezikle birlikte İT yolla verildi. Kontrol grubuna (Grup C,n:18) morfin verilmedi. Ağrı görsel analog skalası ile değerlendirildi. Gruplar ek analjezik gereksinimi, morfinin yan etkileri ve hemodinamik parametreler açısından karşılaştırıldı. Bulgular: İlk 24 saatte IT gruptaki hiçbir hastada ek analjezik gereksinimi olmadı. Buna karşılık İA, İM ve C grubunda sırasıyla % 14.3, % 25.0 ve % 72.2 oranlarında ek lornoksikam gereksinimi oldu (p