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Effects of intraarticular tramadol, magnesium and ketamine on postoperative pain in arthroscopic meniscectomy
OBJECTIVE: Postoperative pain control is important in terms of early recovery and rehabilitation in arthroscopic meniscectomy. For this purpose, we aimed to compare the effects of intraarticular tramadol, magnesium, and ketamine with combinations of pericapsular bupivacaine on postoperative pain and...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9391820/ https://www.ncbi.nlm.nih.gov/pubmed/30409408 http://dx.doi.org/10.1016/j.bjane.2018.09.002 |
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author | Salman, Nevriye Olgunkeleş, Bilge Bektaş, Umut Güner, Derviş Bektas, Meltem Ay, Şadan Şekerci, Sumru |
author_facet | Salman, Nevriye Olgunkeleş, Bilge Bektaş, Umut Güner, Derviş Bektas, Meltem Ay, Şadan Şekerci, Sumru |
author_sort | Salman, Nevriye |
collection | PubMed |
description | OBJECTIVE: Postoperative pain control is important in terms of early recovery and rehabilitation in arthroscopic meniscectomy. For this purpose, we aimed to compare the effects of intraarticular tramadol, magnesium, and ketamine with combinations of pericapsular bupivacaine on postoperative pain and recovery in arthroscopic meniscectomy. METHODS: Ninety patients who underwent arthroscopic meniscectomy were enrolled in the study. Group T was given tramadol, Group K was given ketamine, and Group M was given magnesium reconstituted intraarticularly, and all groups received periarticular bupivacaine. Comparisons were made in terms of the patients’ postoperative Visual Analogue Scale scores with and without movement, need for additional analgesics, first analgesic time, mobilization times, adverse effects, and satisfaction with the analgesics. RESULTS: The Visual Analogue Scale scores were lowest in Group T at 0 minutes, and were higher in the 15th and 30th minutes and 1st, 2nd, and 6th hours. Visual Analogue Scale values with movement were found to be high in Group M at 0 and 15 minutes, but they were found to be higher in group T in the 30th minute, 1st, 2nd and 6th hour. The groups were similar in terms of postoperative additional analgesic use, number of analgesic use, and satisfaction with analgesics; however, the first analgesic time was earlier in Group M, and the first mobilization time was earlier in Group K. CONCLUSION: Intraarticular ketamine enables early mobilization and less need for additional analgesics, it also provides a better analgesic effect in comparison with intraarticular tramadol and magnesium. |
format | Online Article Text |
id | pubmed-9391820 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-93918202022-08-21 Effects of intraarticular tramadol, magnesium and ketamine on postoperative pain in arthroscopic meniscectomy Salman, Nevriye Olgunkeleş, Bilge Bektaş, Umut Güner, Derviş Bektas, Meltem Ay, Şadan Şekerci, Sumru Braz J Anesthesiol Scientific Article OBJECTIVE: Postoperative pain control is important in terms of early recovery and rehabilitation in arthroscopic meniscectomy. For this purpose, we aimed to compare the effects of intraarticular tramadol, magnesium, and ketamine with combinations of pericapsular bupivacaine on postoperative pain and recovery in arthroscopic meniscectomy. METHODS: Ninety patients who underwent arthroscopic meniscectomy were enrolled in the study. Group T was given tramadol, Group K was given ketamine, and Group M was given magnesium reconstituted intraarticularly, and all groups received periarticular bupivacaine. Comparisons were made in terms of the patients’ postoperative Visual Analogue Scale scores with and without movement, need for additional analgesics, first analgesic time, mobilization times, adverse effects, and satisfaction with the analgesics. RESULTS: The Visual Analogue Scale scores were lowest in Group T at 0 minutes, and were higher in the 15th and 30th minutes and 1st, 2nd, and 6th hours. Visual Analogue Scale values with movement were found to be high in Group M at 0 and 15 minutes, but they were found to be higher in group T in the 30th minute, 1st, 2nd and 6th hour. The groups were similar in terms of postoperative additional analgesic use, number of analgesic use, and satisfaction with analgesics; however, the first analgesic time was earlier in Group M, and the first mobilization time was earlier in Group K. CONCLUSION: Intraarticular ketamine enables early mobilization and less need for additional analgesics, it also provides a better analgesic effect in comparison with intraarticular tramadol and magnesium. Elsevier 2018-10-06 /pmc/articles/PMC9391820/ /pubmed/30409408 http://dx.doi.org/10.1016/j.bjane.2018.09.002 Text en © 2018 Sociedade Brasileira de Anestesiologia. Published by Elsevier Editora Ltda. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Scientific Article Salman, Nevriye Olgunkeleş, Bilge Bektaş, Umut Güner, Derviş Bektas, Meltem Ay, Şadan Şekerci, Sumru Effects of intraarticular tramadol, magnesium and ketamine on postoperative pain in arthroscopic meniscectomy |
title | Effects of intraarticular tramadol, magnesium and ketamine on postoperative pain in arthroscopic meniscectomy |
title_full | Effects of intraarticular tramadol, magnesium and ketamine on postoperative pain in arthroscopic meniscectomy |
title_fullStr | Effects of intraarticular tramadol, magnesium and ketamine on postoperative pain in arthroscopic meniscectomy |
title_full_unstemmed | Effects of intraarticular tramadol, magnesium and ketamine on postoperative pain in arthroscopic meniscectomy |
title_short | Effects of intraarticular tramadol, magnesium and ketamine on postoperative pain in arthroscopic meniscectomy |
title_sort | effects of intraarticular tramadol, magnesium and ketamine on postoperative pain in arthroscopic meniscectomy |
topic | Scientific Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9391820/ https://www.ncbi.nlm.nih.gov/pubmed/30409408 http://dx.doi.org/10.1016/j.bjane.2018.09.002 |
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