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Comparison Of Applying Intraarticular And Epidural Of Morphin Andbupivacain With Aim Of Postoperative Analgesia In Arthroscopies
Uğur ÖZOK*, Haluk KAFALI**, Caner MİMAROĞLU***
*Uzm.Dr.Cumhuriyet Üniversitesi Tıp Fakültesi Anesteziyoloji ABD,**Yrd.Doç.Dr.Cumhuriyet Üniversitesi Tıp Fakültesi Anesteziyoloji ABD,***Prof.Dr.Cumhuriyet Üniversitesi Tıp Fakültesi Anesteziyoloji ABD, SİVAS
In this study, we aimed to compare the effects of morphin and bupivacain given into the intraarticular and epidural space, in order to control the pain in the postoperative stage in arthroscopic operations applied to knee joint.
30 patients (ASA I-II) selected randomly were separated into two study group. After arthroscopic operation was applied under general anaesthesia to one group (group A, n:15), intraarticularly morphin (5 mg) and bupivacain (0.5% 18 ml) mixture was given. Also, epidural anaesthesia was applied by morphin (5 mg) and bupivacain (0.5%, 18 ml) mixture to the other group (group B, n:15). Postoperative pain scores of all patients were obtained by VAS (Visual analog scale). After arthroscopic operations were completed in both groups, the VAS values of the patients in the 1,2,3,4,6 and 24th hours, first analgesic necessity periods, additional analgesic necessity and total dose of analgesic used for 24 hours postoperatively were recorded.
Although, pain scores of group A were lower in postoperative stage, the first analgesic necessity period was found to be longer in group B (p<0.05). But, there was no significantly difference between the two groups about additional and total analgesic necessity in the 24 hours (p>0.05).
As a result, we concluded that the both two techniques can be applied to postoperative analgesia.
Keywords: Artroscopia, Epidural anaesthesia,Intraarticular morphin
Turkiye Klinikleri J Med Sci 1996, 16:374-377
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