| HOME | HELP | CONTACT US | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
Sign In to gain access to subscriptions and/or personal tools.
|
|
|
|||||||
Sign In to gain access to subscriptions and/or personal tools. |
|||||||||
Kerlan-Jobe Orthopaedic Clinic, Centinela Hospital, Inglewood, California
Department of Anesthesiology, Centinela Hospital, Inglewood, California
Kerlan-Jobe Orthopaedic Clinic, Centinela Hospital, Inglewood, California
This study sought to compare the effects of morphine, bupivacaine, and saline injected into the knee after ar throscopic surgery. In a double-blind, randomized trial, 124 patients received either bupivacaine, morphine, bupivacaine and morphine, or saline at the completion of surgery. Postoperative pain was assessed with a 100-mm visual analog pain scale. Analgesic require ments were calculated, and weightbearing status was recorded. We found that morphine alone injected in traarticularly at the completion of arthroscopic knee sur gery had no significant effect on postoperative pain, need for supplemental analgesia, or weightbearing sta tus. Patients receiving morphine in combination with bupivacaine did not demonstrate any statistically sig nificant improvement over those receiving bupivacaine alone. Therefore, our results failed to show any ben eficial effect of morphine used for postoperative anal gesia, either alone or in combination with bupivacaine. The overall pattern in all patients demonstrated de creased pain scores, decreased analgesic use, and in creased weightbearing status as the observation period progressed. Finally, preoperative pain was correlated with pain at discharge, indicating that the most signifi cant predictor of postoperative pain was preoperative level of discomfort.
This article has been cited by other articles:
|
|
 |
|
  R. D. Parker, K. Streem, L. Schmitz, M. Group, and P. A. Martineau Efficacy of Continuous Intra-articular Bupivacaine Infusion for Postoperative Analgesia After Anterior Cruciate Ligament Reconstruction: A Double-Blinded, Placebo-Controlled, Prospective, and Randomized Study Am. J. Sports Med., April 1, 2007; 35(4): 531 - 536. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 G. A. Liguori, G. F. Chimento, L. Borow, and M. Figgie Possible Bupivacaine Toxicity After Intraarticular Injection for Postarthroscopic Analgesia of the Knee: Implications of the Surgical Procedure Anesth. Analg., April 1, 2002; 94(4): 1010 - 1013. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. Gupta, L. Bodin, B. Holmstrom, and L. Berggren A Systematic Review of the Peripheral Analgesic Effects of Intraarticular Morphine Anesth. Analg., September 1, 2001; 93(3): 761 - 770. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
E. C. McCarty, K. P. Spindler, E. Tingstad, Y. Shyr, and M. Higgins Does Intraarticular Morphine Improve Pain Control with Femoral Nerve Block after Anterior Cruciate Ligament Reconstruction? Am. J. Sports Med., May 1, 2001; 29(3): 327 - 332. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. S. Reuben and J. Sklar Pain Management in Patients Who Undergo Outpatient Arthroscopic Surgery of the Knee J. Bone Joint Surg. Am., December 1, 2000; 82(12): 1754 - 1754. [Full Text]
|
|
|
|
|
|
C. J. Gatt Jr, R. D. Parker, J. E. Tetzlaff, M. Z. Szabo, and A. B. Dickerson Preemptive Analgesia: Its Role and Efficacy in Anterior Cruciate Ligament Reconstruction Am. J. Sports Med., July 1, 1998; 26(4): 524 - 529. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. W. Jaureguito, J. F. Wilcox, S. J. Cohn, R. A. Thisted, and B. Reider A Comparison of Intraarticular Morphine and Bupivacaine for Pain Control After Outpatient Knee Arthroscopy: A Prospective, Randomized, Double-Blinded Study Am. J. Sports Med., June 1, 1995; 23(3): 350 - 353. [Abstract] [PDF]
|
|
| HOME | HELP | CONTACT US | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
