Effectiveness of Intra-Articular Ropivacaine for Post-Operative Analgesia in Arthroscopic Knee Surgeries.

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dc.contributor.authorNagpure, Pratibhaen_US
dc.contributor.authorModak, Anjalien_US
dc.contributor.authorSingam, Amolen_US
dc.contributor.authorShrey, Shrutien_US
dc.contributor.authorLatwal, Basanten_US
dc.contributor.authorJejani, Ayushmaen_US
dc.date.accessioned2020-11-18T10:18:49Z
dc.date.available2020-11-18T10:18:49Z
dc.date.issued2020-02
dc.description.abstractPost-operative pain frequently hampers implementation of day care arthroscopic knee surgery in spite of so many analgesic, local anaesthetic drugs and routes of administration. The aim of this study was to evaluate the efficacy and safety of intraarticularly administered inj. ropivacaine 0.25% 20 ml, after arthroscopic knee surgery performed under spinal anaesthesia, for prolonging the duration of post-operative analgesia.METHODSThis is a prospective randomized study conducted among 80 patients of both sexes, of American Society of Anesthesiologists, physical status I and II, undergoing day care arthroscopic knee surgery who were randomly assigned into two groups (R, C). Group R received 20 ml of 0.25% ropivacaine, whereas group C received 20 ml of 0.9% inj. normal saline through intra-articular route at the end of the procedure. Pain was assessed using visual analog scale (VAS) and paracetamol given as rescue analgesic when VAS >4. Time of first analgesic request and total rescue analgesic were noted.RESULTSTime for the requirement of first post-operative rescue analgesia (255.15±26.35 vs. 92.40±12.54) min and total mean rescue analgesic requirement was (1.32±0.52 vs. 3.0±1.0) in group R and C respectively. Group C had higher mean VAS score throughout the study period. No side effects were found among the groups. These two results were clinically and statistically significant (p<0.05).CONCLUSIONSAdministration of intra-articular inj. ropivacaine 0.25%, 20ml, is effective & safe method of management of postoperative pain in patients undergoing arthroscopic knee surgeries, as it prolongs the duration of postoperative analgesia, provides better quality of analgesia with reduced requirement of rescue analgesia without significant side effects.en_US
dc.identifier.affiliationsDepartment of Anaesthesiology, AVBRH, JNMC, Sawangi, Wardha, Maharashtra, Indiaen_US
dc.identifier.affiliationsDepartment of Anaesthesiology, AVBRH, JNMC, Sawangi, Wardha, Maharashtra, Indiaen_US
dc.identifier.affiliationsDepartment of Anaesthesiology, AVBRH, JNMC, Sawangi, Wardha, Maharashtra, Indiaen_US
dc.identifier.affiliationsDepartment of Anaesthesiology, AVBRH, JNMC, Sawangi, Wardha, Maharashtra, Indiaen_US
dc.identifier.affiliationsDepartment of Anaesthesiology, AVBRH, JNMC, Sawangi, Wardha, Maharashtra, India.en_US
dc.identifier.affiliationsDepartment of Anaesthesiology, AVBRH, JNMC, Sawangi, Wardha, Maharashtra, India.en_US
dc.identifier.citationNagpure Pratibha, Modak Anjali, Singam Amol, Shrey Shruti, Latwal Basant, Jejani Ayushma. Effectiveness of Intra-Articular Ropivacaine for Post-Operative Analgesia in Arthroscopic Knee Surgeries.. Journal of Evolution of Medical and Dental Sciences. 2020 Feb; 9(6): 324-328en_US
dc.identifier.issn2278-4802
dc.identifier.issn2278-4748
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/215341
dc.languageenen_US
dc.publisherAkshantala Enterprises Private Limiteden_US
dc.relation.issuenumber6en_US
dc.relation.volume9en_US
dc.source.urihttps://dx.doi.org//10.14260/jemds/2020/74en_US
dc.subjectIntra-Articularen_US
dc.subjectRopivacaineen_US
dc.subjectPost-Operative Analgesiaen_US
dc.subjectArthroscopicen_US
dc.subjectKnee Surgeriesen_US
dc.titleEffectiveness of Intra-Articular Ropivacaine for Post-Operative Analgesia in Arthroscopic Knee Surgeries.en_US
dc.typeJournal Articleen_US
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