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Analgesia following day‐case knee arthroscopy—the effect of piroxicam with or without bupivacaine infiltration
Author(s) -
Morrow B. C.,
Milligan K. R.,
Murthy B.V.S.
Publication year - 1995
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/j.1365-2044.1995.tb06006.x
Subject(s) - medicine , bupivacaine , piroxicam , knee arthroscopy , infiltration (hvac) , anesthesia , arthroscopy , surgery , pathology , alternative medicine , physics , thermodynamics
Summary Sixty patients presenting for day‐case arthroscopy of the knee under general anaesthesia were studied. Patients were randomly allocated to receive, in addition to intramuscular piroxicam 20mg, either bupivacaine 0.25% 20 ml applied locally to the knee at the end of the procedure (n = 30) or no further intra‐operative analgesia (n = 30). Visual analogue pain scores were significantly lower at 1,2 and 4 h postoperatively in the bupivacaine group (p < 0.05). A higher proportion of patients in the piroxicam‐only group required supplemental analgesia before discharge from hospital. The combination of piroxicam and bupivacaine provided superior analgesia to piroxicam alone.