The effect of intraarticular levobupivacaine and bupivacaine injection on the postoperative pain management in total knee artroplastic surgery

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dc.contributor.authorYavuz, Nurcan
dc.contributor.authorTaşpınar, Vildan
dc.contributor.authorKarasu, Derya
dc.contributor.authorTezcan, Aysu
dc.contributor.authorDikmen, Beyazıt
dc.contributor.authorGöğüş, Nermin
dc.date.accessioned2019-05-13T09:08:46Z
dc.date.available2019-05-13T09:08:46Z
dc.date.issued2014
dc.departmentHitit Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü
dc.description.abstractObjective: Total knee arthroplasty (TKA) is associated with considerable postoperative pain. We compared the effects of intraoperative intraarticular levobupivacaine and bupivacaine on postoperative analgesia and analgesic consumption after total knee arthroplasty. Methods: Sixty ASA (American Society of Anesthesiologists) physical status II-III, 18-75 years old patients scheduled for unilateral TKA were included in this study. For the operative procedure combined spinal epidural anesthesia was given by injecting 15mg levobupivacaine in subarachnoid space at L3-4/L4-5 in sitting position for all patients. In Group L 20ml levobupivacaine(0.5%), in Group B 20ml bupivacaine(0.5%) was injected intraarticularly 10 minutes before opening of the tourniquet at the end of the surgery. For all patients postoperative analgesia was provided with PCEA (levobupivacaine+fentanyl) and oral 1gr paracetamol four times a day. Patients’ intraoperative-postoperative hemodynamical data, postoperative sensorial-motor block characteristics, side effects, PCEA demand ratios and bolus volumes, total analgesic consumption, VAS values, first mobilization time, hospitalization time were recorded. Statistical analysis was performed with SPSS version 13.00 software. Results: There was no intergroup difference in demographic data, hemodynamical data, PCEA demand ratios, total analgesic consumption, first mobilization time, hospitalization time and VAS values at 0,2,72 hour. Postoperative lower VAS values were determined at 4,8,12,24 hours in Group B and at 48th hour in Group L (p<0.05). Conclusions: Intraarticular local anesthetic administration in addition to PCEA for post operative pain relief provides good analgesia after TKA surgery.
dc.identifier.citationYavuz, N., Taşpınar, V., Karasu, D., Tezcan, A., Dikmen, B., Göğüş, N. (2014). The effect of intraarticular levobupivacaine and bupivacaine injection on the postoperative pain management in total knee artroplastic surgery. Pakistan Journal of Medical Sciences, 30(6), 1286-1292.
dc.identifier.doi10.12669/pjms.306.5877
dc.identifier.endpage1292en_US
dc.identifier.issn1682-024X
dc.identifier.issue6en_US
dc.identifier.scopusqualityQ1
dc.identifier.startpage1286en_US
dc.identifier.urihttps://doi.org/10.12669/pjms.306.5877
dc.identifier.urihttps://hdl.handle.net/11491/2050
dc.identifier.volume30en_US
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherProfessional Medical Publications
dc.relation.ispartofPakistan Journal of Medical Sciences
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsAttribution 3.0 Unported (CC BY 3.0)*
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttps://creativecommons.org/licenses/by/3.0/*
dc.subjectIntraarticularen_US
dc.subjectPatient Controlled Epidural Analgesiaen_US
dc.subjectPostoperative Analgesiaen_US
dc.subjectTotal Knee Arthroplastyen_US
dc.titleThe effect of intraarticular levobupivacaine and bupivacaine injection on the postoperative pain management in total knee artroplastic surgery
dc.typeArticle

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