A COMPARISON BETWEEN INTRA-ARTICULAR 0.2% ROPIVACAINE AND 0.25% BUPIVACAINE FOR POST-OPERATIVE ANALGESIA FOLLOWING DAY-CARE ARTHROSCOPIC KNEE SURGERIES

Sai Kaushik P H; Shaila S Kamath; Surendra U Kaminuath

doi:10.22159/ajpcr.2018.v11i2.23200

Authors

Sai Kaushik P H Department of Anaesthesiology, Kasturba Medical College, Mangalore, Manipal University, Manipal, Karnataka, India.
Shaila S Kamath Department of Anaesthesiology, Kasturba Medical College, Mangalore, Manipal University, Manipal, Karnataka, India.
Surendra U Kaminuath Department of Orthopaedics, Kasturba Medical College, Mangalore, Manipal University, Manipal, Karnataka, India.

DOI:

https://doi.org/10.22159/ajpcr.2018.v11i2.23200

Keywords:

Surgical pain, Local anesthetic, Analgesia

Abstract

Â Objectives: The objective is to compare the effectiveness of intra-articular injection of ropivacaine and bupivacaine in providing pain relief after arthroscopic knee surgery.

Methods: A total of 60 patients of both genders aged 20â€“60 years, the American Society of Anesthesiologists physical Status I and II, undergoing day-care arthroscopic knee surgery under spinal anesthesia, were assigned into two groups randomly. Group 1 received 10 ml of 0.2% ropivacaine, while Group 2 received 10 ml of 0.25% bupivacaine intra-articularly at the end of the procedure. Pain was assessed for 24 h postoperatively using visual analog scale (VAS) and diclofenac sodium given as rescue analgesia when VAS >3. Time of first analgesic request and total rescue analgesic were noted and compared. Statistical analysis used: Students unpaired t-test and Chi-square test and Mannâ€“Whitney test Zâ€ value wherever appropriate. A p<0.05 was considered statistically significant.

Results: Based on comparable demographic profiles, time for the requirement of first post-operative rescue analgesia (262.43Â±57.13 vs. 256.30Â±44.4) min and total mean rescue analgesic requirement was 152.50Â±57.367 vs. 142.50Â±41.07 mg in Groups 1 and 2, respectively. Group 1 showed slightly prolonged duration of analgesia, but total analgesic requirement was more than Group 2. However, comparing the duration of analgesia and total analgesic requirement showed no statistically significant difference between the groups (p>0.05).

Conclusion: Both ropivacaine and bupivacaine injected intra-articularly have similar efficacy statistically in relieving post-operative pain in day-care arthroscopic knee surgery.

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Author Biographies

Sai Kaushik P H, Department of Anaesthesiology, Kasturba Medical College, Mangalore, Manipal University, Manipal, Karnataka, India.

KMC Mangalore

Manipal University, Manipal

Shaila S Kamath, Department of Anaesthesiology, Kasturba Medical College, Mangalore, Manipal University, Manipal, Karnataka, India.

Professor and Head

Department of Anaesthesiology

Surendra U Kaminuath, Department of Orthopaedics, Kasturba Medical College, Mangalore, Manipal University, Manipal, Karnataka, India.

Professor and Head

Department of Orthopaedics

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