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Comparative Evaluation of Analgesic Efficacy of Adductor Canal Block Versus Intravenous Diclofenac in Patients Undergoing Knee Arthroscopic Surgery

BACKGROUND: Adductor canal block is a new and promising approach for providing postoperative pain relief in arthroscopic knee surgery. AIM: The aim is to compare the postoperative analgesic efficacy of adductor canal block and intravenous (i.v.) diclofenac in patients undergoing knee arthroscopic su...

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Autores principales: Ramanathan, Aishwarya, Meena, Dharam Singh, Nagalingam, Natarajan, Gopalakrishnan, Kuppusamy
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8916131/
https://www.ncbi.nlm.nih.gov/pubmed/35281364
http://dx.doi.org/10.4103/aer.aer_43_21
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author Ramanathan, Aishwarya
Meena, Dharam Singh
Nagalingam, Natarajan
Gopalakrishnan, Kuppusamy
author_facet Ramanathan, Aishwarya
Meena, Dharam Singh
Nagalingam, Natarajan
Gopalakrishnan, Kuppusamy
author_sort Ramanathan, Aishwarya
collection PubMed
description BACKGROUND: Adductor canal block is a new and promising approach for providing postoperative pain relief in arthroscopic knee surgery. AIM: The aim is to compare the postoperative analgesic efficacy of adductor canal block and intravenous (i.v.) diclofenac in patients undergoing knee arthroscopic surgeries. SET AND DESIGN: This was a prospective, randomized double-blinded comparative study comprising 60 American Society of Anesthesiologists Physical status Classes I and II patients posted for unilateral knee arthroscopic surgery. MATERIALS AND METHODS: Patients were randomized into two groups of 30 patients each. Patients were given general anaesthesia with fentanyl, propofol, and vecuronium. Ultrasound (USG) guided adductor canal block with 30 ml of 0.5% ropivacaine was given in Group A patients and patients in Group B received i.v. diclofenac before extubation. After adequate recovery, patients were shifted to postanesthetic care unit. Visual Analogue Scale score was assessed at rest, on standing and on walking 3 m. STATISTICAL ANALYSIS: Student's independent t-test was employed for comparing continuous variables. Chi-square test or Fisher's exact test, whichever is appropriate, was applied for comparing categorical variables. RESULTS: The mean duration of analgesia was longer in Group A as compared to Group B and mean consumption of rescue analgesic was lower in Group A. Both were statistically significant. No significant postoperative complications or local side effects related to the block were noted. CONCLUSIONS: Adductor canal block provides a longer duration of postoperative analgesia promotes early mobilization and has a good safety profile in unilateral knee arthroscopic surgeries.
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spelling pubmed-89161312022-03-12 Comparative Evaluation of Analgesic Efficacy of Adductor Canal Block Versus Intravenous Diclofenac in Patients Undergoing Knee Arthroscopic Surgery Ramanathan, Aishwarya Meena, Dharam Singh Nagalingam, Natarajan Gopalakrishnan, Kuppusamy Anesth Essays Res Original Article BACKGROUND: Adductor canal block is a new and promising approach for providing postoperative pain relief in arthroscopic knee surgery. AIM: The aim is to compare the postoperative analgesic efficacy of adductor canal block and intravenous (i.v.) diclofenac in patients undergoing knee arthroscopic surgeries. SET AND DESIGN: This was a prospective, randomized double-blinded comparative study comprising 60 American Society of Anesthesiologists Physical status Classes I and II patients posted for unilateral knee arthroscopic surgery. MATERIALS AND METHODS: Patients were randomized into two groups of 30 patients each. Patients were given general anaesthesia with fentanyl, propofol, and vecuronium. Ultrasound (USG) guided adductor canal block with 30 ml of 0.5% ropivacaine was given in Group A patients and patients in Group B received i.v. diclofenac before extubation. After adequate recovery, patients were shifted to postanesthetic care unit. Visual Analogue Scale score was assessed at rest, on standing and on walking 3 m. STATISTICAL ANALYSIS: Student's independent t-test was employed for comparing continuous variables. Chi-square test or Fisher's exact test, whichever is appropriate, was applied for comparing categorical variables. RESULTS: The mean duration of analgesia was longer in Group A as compared to Group B and mean consumption of rescue analgesic was lower in Group A. Both were statistically significant. No significant postoperative complications or local side effects related to the block were noted. CONCLUSIONS: Adductor canal block provides a longer duration of postoperative analgesia promotes early mobilization and has a good safety profile in unilateral knee arthroscopic surgeries. Wolters Kluwer - Medknow 2021 2021-11-07 /pmc/articles/PMC8916131/ /pubmed/35281364 http://dx.doi.org/10.4103/aer.aer_43_21 Text en Copyright: © 2021 Anesthesia: Essays and Researches https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Ramanathan, Aishwarya
Meena, Dharam Singh
Nagalingam, Natarajan
Gopalakrishnan, Kuppusamy
Comparative Evaluation of Analgesic Efficacy of Adductor Canal Block Versus Intravenous Diclofenac in Patients Undergoing Knee Arthroscopic Surgery
title Comparative Evaluation of Analgesic Efficacy of Adductor Canal Block Versus Intravenous Diclofenac in Patients Undergoing Knee Arthroscopic Surgery
title_full Comparative Evaluation of Analgesic Efficacy of Adductor Canal Block Versus Intravenous Diclofenac in Patients Undergoing Knee Arthroscopic Surgery
title_fullStr Comparative Evaluation of Analgesic Efficacy of Adductor Canal Block Versus Intravenous Diclofenac in Patients Undergoing Knee Arthroscopic Surgery
title_full_unstemmed Comparative Evaluation of Analgesic Efficacy of Adductor Canal Block Versus Intravenous Diclofenac in Patients Undergoing Knee Arthroscopic Surgery
title_short Comparative Evaluation of Analgesic Efficacy of Adductor Canal Block Versus Intravenous Diclofenac in Patients Undergoing Knee Arthroscopic Surgery
title_sort comparative evaluation of analgesic efficacy of adductor canal block versus intravenous diclofenac in patients undergoing knee arthroscopic surgery
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8916131/
https://www.ncbi.nlm.nih.gov/pubmed/35281364
http://dx.doi.org/10.4103/aer.aer_43_21
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