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2020, Number 1

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Rev Mex Anest 2020; 43 (1)

Regional intra-articular block with local anesthetics in arthroscopic knee surgery

Cordero‑Escobar I, Chico-Capote A, Escobar-Andarade J, Estévez-Chico MH, Mora-Díaz I

Language: Spanish
References: 38
Page: 8-15
PDF size: 293.57 Kb.


ABSTRACT

Introduction: The anesthetic technique of choice for arthroscopy is determined by the intraoperative surgical requirements and aims to optimize recovery, postoperative pain control and facilitate early discharge. Objective:To evaluate the results of intra-articular regional block with local anesthetics in arthroscopic knee surgery. Material and methods: An observational, descriptive, cross-sectional study was conducted to evaluate the results of the intra-articular regional block with local anesthetics in arthroscopic knee surgery at the «Hermanos Ameijeiras» Clinical Surgical Hospital, in the period between February 2013 and February 2016. The study included a total of 120 patients, distributed in two groups of 60 each. Group AS: subarachnoid anesthesia and Group AI: intra-articular regional block with local anesthetics. Results: The most frequent age group was between 60-69 years, 28.3% in group SA and 35.0% in group IA, without significant differences (p = 0.683). Female sex predominated over male (42/18 vs 44/16), without significant differences (p = 0.839). ASA I predominated, in 56.7% and 43.3%, according to anesthetic technique, without significant differences (p = 0.092). The right knee predominated over the left. The most frequent nosological entity was the escrow present in 58.3% of the AS group and 60% in the group IA (p = 0.408). Osteoarthritis of the knee, according to groups, was presented in 46.7% in the AS group and 50.0% in the AI group. Postoperative pain was present in 21.7% of the AS group and 10% in the Group IA. There were significant differences between groups (p = 0.0114). Complications according to groups occurred in twice as many patients in the AS group (30.0%) as in group IA (15.0%) with significant differences (p = 0.049). Conclusions:The results of intra-articular regional block with local anesthetics in arthroscopic knee surgery is an anesthetic technique that is easy to perform and provides patient safety.


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