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Do Timing of Injection and Status of the Suction Drain Effect Postoperative Pain Scores After Intra-articular Bupivacaine Injection in Arthroscopic ACL Reconstruction?

, - , 03.06.2016

Eren Cansu Tevfik Balikci Mustafa Asansu Selim Ergun Yakup Yildirim

Öz

Purpose: The purpose of this study was to evaluate if the timing of the intra-articular local anesthetic injection and the status of the suction drain result in variable pain scores after ACL reconstruction.

Methods: Forty patients undergoing arthroscopic ACL reconstruction were randomized  into four groups. They received  20ml bupivacaine 0.25% intra-articularly. GroupI received the agent 20 minutes before the start of the operation(preemptive-PE), GroupII at the end of the operation with the suction drain opened(DO), in GroupIII drain was closed for 1 hour(DC). GroupIV didn't receive any intra-articular injection(CG-control). Visual analog scale (VAS) scores and additional analgesic requirements were recorded.

Results: At postoperative hour 2, PE had the lowest and CG had the highest VAS scores. At hour 4, with the same ranking, the difference in VAS scores reached a significance in favor of DC in comparison to DO group (p<0.05). At  hour 6, VAS scores of PE  and DC were statistically not different and lower than the other groups (p<0.05). At hour 12, PE and CG had higher VAS scores in comparison to the DC and DO groups. VAS scores were not different among groups at hour 24.
The interval to first analgesic requirement was significantly shorter in the CG and longer in the PE in comparison to the other two groups (P<0.001).

Conclusion:  Intra-articular bupivacaine injection at different stages of the operation yielded variable VAS scores at the postoperative period. Closing the drain after intra-articular injection resulted in an early onset analgesic effect without shortening the duration.

 

DOI: 10.3944/AOTT.2015.14.0294
This abstract belongs to the un-edited version of the article and is only for informative purposes. Published version may differ from the current version.

Anahtar Kelimeler

ACL reconstruction;bupivacaine;postoperative pain;drain;VAS scores.

, - , 03.06.2016

Eren Cansu Tevfik Balikci Mustafa Asansu Selim Ergun Yakup Yildirim

Öz

Toplam 0 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Bölüm Orijinal Makale
Yazarlar

Eren Cansu Bu kişi benim

Tevfik Balikci Bu kişi benim

Mustafa Asansu Bu kişi benim

Selim Ergun

Yakup Yildirim Bu kişi benim

Yayımlanma Tarihi 3 Haziran 2016
Yayımlandığı Sayı

Kaynak Göster

APA Cansu, E., Balikci, T., Asansu, M., Ergun, S., vd. (2016). Do Timing of Injection and Status of the Suction Drain Effect Postoperative Pain Scores After Intra-articular Bupivacaine Injection in Arthroscopic ACL Reconstruction?. Acta Orthopaedica Et Traumatologica Turcica.
AMA Cansu E, Balikci T, Asansu M, Ergun S, Yildirim Y. Do Timing of Injection and Status of the Suction Drain Effect Postoperative Pain Scores After Intra-articular Bupivacaine Injection in Arthroscopic ACL Reconstruction?. Acta Orthopaedica et Traumatologica Turcica. Published online 01 Haziran 2016.
Chicago Cansu, Eren, Tevfik Balikci, Mustafa Asansu, Selim Ergun, ve Yakup Yildirim. “Do Timing of Injection and Status of the Suction Drain Effect Postoperative Pain Scores After Intra-Articular Bupivacaine Injection in Arthroscopic ACL Reconstruction?”. Acta Orthopaedica Et Traumatologica Turcica, Haziran (Haziran 2016).
EndNote Cansu E, Balikci T, Asansu M, Ergun S, Yildirim Y (01 Haziran 2016) Do Timing of Injection and Status of the Suction Drain Effect Postoperative Pain Scores After Intra-articular Bupivacaine Injection in Arthroscopic ACL Reconstruction?. Acta Orthopaedica et Traumatologica Turcica
IEEE E. Cansu, T. Balikci, M. Asansu, S. Ergun, ve Y. Yildirim, “Do Timing of Injection and Status of the Suction Drain Effect Postoperative Pain Scores After Intra-articular Bupivacaine Injection in Arthroscopic ACL Reconstruction?”, Acta Orthopaedica et Traumatologica Turcica, Haziran 2016.
ISNAD Cansu, Eren vd. “Do Timing of Injection and Status of the Suction Drain Effect Postoperative Pain Scores After Intra-Articular Bupivacaine Injection in Arthroscopic ACL Reconstruction?”. Acta Orthopaedica et Traumatologica Turcica. Haziran 2016.
JAMA Cansu E, Balikci T, Asansu M, Ergun S, Yildirim Y. Do Timing of Injection and Status of the Suction Drain Effect Postoperative Pain Scores After Intra-articular Bupivacaine Injection in Arthroscopic ACL Reconstruction?. Acta Orthopaedica et Traumatologica Turcica. 2016.
MLA Cansu, Eren vd. “Do Timing of Injection and Status of the Suction Drain Effect Postoperative Pain Scores After Intra-Articular Bupivacaine Injection in Arthroscopic ACL Reconstruction?”. Acta Orthopaedica Et Traumatologica Turcica, 2016.
Vancouver Cansu E, Balikci T, Asansu M, Ergun S, Yildirim Y. Do Timing of Injection and Status of the Suction Drain Effect Postoperative Pain Scores After Intra-articular Bupivacaine Injection in Arthroscopic ACL Reconstruction?. Acta Orthopaedica et Traumatologica Turcica. 2016.