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      Bupivacaína como anestésico local en las artroscopias de rodilla Translated title: Bupivacaïne comme anesthésique local dans les arthroscopies de genou Translated title: Bupivacaine as a local anesthetic in knee arthroscopies

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          Abstract

          Se expuso una experiencia clínica relacionada con el uso de la bupivacaína como anestésico local para realizar artroscopias de la rodilla a un grupo de 62 pacientes adultos. Se describió la técnica operatoria y se ofrecieron resultados y recomendaciones, así como un análisis de las complicaciones.

          Translated abstract

          Une expérience clinique, par rapport à l’usage de la bupivacaïne comme anesthésique local pour pratiquer des arthroscopies de genou á un groupe de 62 patients adultes, a été exposée. La technique opératoire a été décrite, et des résultats et des recommandations, ainsi qu’une analyse des complications, ont été offerts.

          Translated abstract

          A clinical experience connected with the use of bupivacaine as a local anesthetic to perform knee arthroscopies in a group of 62 adult patients was approached. The surgical procedure was described. Some results were given and recommendations were made. Complications were also analyzed.

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          Most cited references14

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          Fractures of the clavicle.

          Undisplaced fractures of both the diaphysis and the lateral end of the clavicle have a high rate of union, and the functional outcomes are good after nonoperative treatment. Nonoperative treatment of displaced shaft fractures may be associated with a higher rate of nonunion and functional deficits than previously reported. However, it remains difficult to predict which patients will have these complications. Since a satisfactory functional outcome may be obtained after operative treatment of a clavicular nonunion or malunion, there is currently considerable debate about the benefits of primary operative treatment of these injuries. Displaced lateral-end fractures have a higher risk of nonunion after nonoperative treatment than do shaft fractures. However, nonunion is difficult to predict and may be asymptomatic in elderly individuals. The results of operative treatment are more unpredictable than they are for shaft fractures.
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            Postoperative analgesia for outpatient arthroscopic knee sugery with intraarticular bupivacaine and ketorolac.

            Intraarticular (IA) local anesthetics are often used for the management and prevention of pain after arthroscopic knee surgery. Systemic ketorolac is also useful in the management of these patients. Ketorolac, a nonsteroidal antiinflammatory drug (NSAID), alters the sensitivity of peripheral nociceptors by reducing the local concentration of allogenic chemicals which are activated by peripheral tissue injury. It is interesting to speculate that placing a NSAID at the site of injury might result in more profound pain relief. However, IA ketorolac has not been evaluated in arthroscopic patients. This study thus was designed to determine which regimen would result in the most effective analgesic benefit. The four groups evaluated received ketorolac (either via the parenteral or IA route) or saline placebo with or without IA bupivacaine, as follows: Group 1 received IA bupivacaine; Group 2, intravenous ketorolac and IA bupivacaine; Group 3, IA bupivacaine with ketorolac; and Group 4, IA ketorolac. The results of this study revealed a significant difference in analgesia from the IA administration of ketorolac. The group who received a combination of IA bupivacaine and IA ketorolac had decreased postoperative pain, a decreased need for postoperative analgesics, and an increased analgesic duration. We conclude that the use of IA ketorolac improved comfort in patients undergoing knee arthroscopy.
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              Local anesthesia for knee arthroscopy. Efficacy and cost benefits.

              We performed a retrospective review of a series of knee arthroscopic procedures that were completed using local, general, or regional anesthesia to evaluate the efficacy of these anesthetic techniques. Operative time, complications or failures, procedures successfully performed, recovery room time and postoperative stay, and patient satisfaction were recorded. Local anesthesia with intravenous sedation compared favorably with the other techniques: operative time was not increased, a large variety of operative procedures were successfully completed, recovery time was significantly shortened, and patient satisfaction remained high. This technique offers several advantages over other types of anesthesia for knee arthroscopy, including improved cost effectiveness.
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                Author and article information

                Journal
                ort
                Revista Cubana de Ortopedia y Traumatología
                Rev Cubana Ortop Traumatol
                Editorial Ciencias Médicas (Ciudad de la Habana, , Cuba )
                0864-215X
                1561-3100
                December 1999
                : 13
                : 1-2
                : 27-30
                Affiliations
                [01] Ciudad de La Habana orgnameHospital Militar Central Carlos J. Finlay Cuba
                Article
                S0864-215X1999000100004 S0864-215X(99)01300104
                5a120dac-b421-4026-8bfd-3c25eb8494ad

                This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

                History
                : 17 February 1999
                : 19 October 1998
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 13, Pages: 4
                Product

                SciELO Cuba

                Self URI: Texto completo solamente en formato PDF (ES)
                Categories
                ARTÍCULOS ORIGINALES

                BUPIVACAINE,ARTICULACION DE LA RODILLA,ARTROSCOPIA,EPINEFRINA,BUPIVACAINA/,KNEE JOINT,ARTHROSCOPY,EPINEPHRINE,ARTICULATIONS DU GENOU,ARTHROSCOPIE

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