Comparative study of analgesic effects of intraarticular administration of equipotent dose of morphine and fentanyl with bupivacaine and bupivacaine alone in arthroscopic ACL reconstruction

Somnath Mandal; Dipasri Bhattacharya; Sandip Roy; Anjana Bose; Mohan C Mandal; Gautam Choudhury

doi:10.5005/jp-journals-10046-0046

Users Online: 209

ORIGINAL ARTICLE

Year : 2016 \| Volume : 2 \| Issue : 3 \| Page : 72-76

Comparative study of analgesic effects of intraarticular administration of equipotent dose of morphine and fentanyl with bupivacaine and bupivacaine alone in arthroscopic ACL reconstruction Somnath Mandal¹, Dipasri Bhattacharya², Sandip Roy³, Anjana Bose⁴, Mohan C Mandal⁵, Gautam Choudhury⁶ ¹ Postgraduate Trainee, Department of Anesthesiology, Critical Care and Pain, RGK Medical College, Kolkata, West Bengal, India ² Professor and Head, Department of Anesthesiology, Critical Care and Pain, RGK Medical College, Kolkata, West Bengal, India ³ Professor, Department of Orthopedics, RGK Medical College and Hospital, Kolkata, West Bengal, India ⁴ Assistant Professor ⁵ Associate Professor, Department of Anesthesiology, North Bengal Medical College, Kolkata, West Bengal, India ⁶ Professor, Department of Anesthesiology, Critical Care and Pain, RGK Medical College, Kolkata, West Bengal, India Correspondence Address: Dipasri Bhattacharya Abhyudoy Housing, Kolkata, West Bengal India Source of Support: None, Conflict of Interest: None DOI: 10.5005/jp-journals-10046-0046

Intraarticular (IA) local anesthetics and opioids are often used for the management and prevention of pain after arthroscopic anterior cruciate ligament (ACL) reconstruction. In this study, analgesic efficacy of IA administration of equipotent dose of morphine and fentanyl with bupivacaine and bupivacaine alone in arthroscopic ACL reconstruction under spinal anesthesia has been compared. Forty-five patients, aged between 15 and 55 years, of American Society of Anesthesiologists (ASA) grade I and II were assigned into three equal groups (n = 15) in a randomized double-blind protocol. Group B received 20 mL of 0.25% bupivacaine and 1 mL normal saline (NS); group BF received 20 mL of 0.25% bupivacaine and 50 μg (1 mL) fentanyl; and group BM received 20 mL of 0.25% bupivacaine and 5 mg (0.5 mL) morphine and 0.5 mL NS through IA route at the end of the procedure. Postoperative analgesia was assessed by visual analogue scale (VAS) score. The VAS score in BM group was less during all the time in the postoperative period compared with the other two groups. This group also experienced longer duration of postoperative analgesia and lesser rescue analgesic. Intraarticular administration of morphine and bupivacaine is safe and provides prolonged analgesia with minimal side effects compared with bupivacaine and fentanyl and bupivacaine alone.



[PDF]*

Table of Contents

Similar in PUBMED

Search Pubmed for

Search in Google Scholar for

Related articles

Citation Manager

Access Statistics

Reader Comments

Email Alert *

Add to My List *

* Requires registration (Free)

Article Access Statistics

Viewed	551

Printed	68

Emailed	0

PDF Downloaded	61

Comments	[Add]