Knee arthroscopy postoperative analgesia by multimodal cocktail regime
Journal Title: International Journal of Medical Research and Review - Year 2016, Vol 4, Issue 7
Abstract
Background: Post-operative knee pain management have become a challenge to provide early relief and pain free postoperative care to the patient. Adequate analgesia influences the early rehabilitation of the patient and hospital stay. Many factors have been implicated to influence post arthroscopy pain such anesthetic technique, residual effects of perioperative analgesia, patient pain threshold, preoperative pain level, the use and duration of tourniquet exsanguination, surgical trauma involved, volume of drug injected, the experience of the surgeons, the sex of the patient and the postoperative activity level of the patients. The purpose of this study is to assess the efficacy of the multidrug regime for management of postoperative pain during first 24 hours. Methods: In our study 57 patients of both the sexes were evaluated for postoperative pain following various elective arthroscopic knee surgeries such as ligament reconstruction, cartilage procedures and diagnostic arthroscopic procedures. Patients were evaluated for pain using visual analogue score at 6th hour,12th hour and 24 hours’ post-operative. A cocktail prepared of multidrug was used for the study. Results: The new cocktail regime provides adequate analgesia with no patients requiring additional analgesia for first 12 hours and only 2 patients whose VAS [visual analogue scale] was greater than 4 required additional analgesia at the end of 24 hours postoperative. Conclusion: Multi drug cocktail regime provides a good analgesic for post-operative knee arthroscopic surgery without the need of rescue analgesics. Intra articular local analgesia reduces overall use of parenteral analgesics and also helps in quicker rehabilitation.
Authors and Affiliations
Madan Mohan Ballal, Pavan Kumar Chebbi, Vasudev Prabhu, Sathish Kumar S,, Dharmesh Chikkegowda
Keywords
Related Articles
- EP ID EP230592
- DOI 10.17511
- Views 151
- Downloads 0
Survey of Saudi Publications in the Highest Impact Medical Journals
Objectives: The four “Highest Impact Medical Journals” (HIMJs) and their 2015 impact factors (IF)s are: New England Journal of Medicine (55.8), Lancet (45.2), Journal of the American Medical association (35.3) and Britis...
Comparison of conventional methods with gene xpert mtb/rif assay for rapid detection of mycobacterium tuberculosis and rifampicin resistance in extra-pulmonary samples
Introduction: Tuberculosis (TB) is a major health problem in India. The World Health Organization has recently in 2010 endorsed the Gene Xpert MTB/RIF assay for rapid detection of smear negative and multidrug resistance...
A rare case of primary umbilical endometriosis in a nulliparous female confirmed on imaging and histopathology: Case report
Endometriosis is a common gynaecological condition, the pelvis being the most common site. Extrapelvic sites including intestinal tract, urinary tract, omentum, thorax, surgical scars and umbilicus are less common sites...
Effect of music during exercise on rate of perceived exertion & mood status
Background: Music has been used in boosting performance during various exercise and sports events. This present study was planned to assess the effect of music on mood status and rate of perceived exertion during jumping...
Accessory parotid gland: its surgical importance
Introduction: Accessory parotid gland is separated normal tissue from the main parotid gland, lying over the parotid duct. Accessory parotid gland is more prone for parotid tumors than main parotid gland. The accessory p...