Preemptive Local Anesthesia in Ankle Arthroscopy

Liszka, Henryk; Gądek, Artur

doi:10.1177/1071100716665354

Cited by 4 publications

(2 citation statements)

References 53 publications

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“…[1][2][3][4][5] It is also performed as a diagnostic procedure for intra-articular disease. 6 For arthroscopic ankle surgery, possible anesthetic methods include spinal anesthesia (SA), nerve block, and local anesthesia (LA). SA is often applied because of its convenience for patients and surgeons, as well as its safety.…”

Section: Introductionmentioning

confidence: 99%

Local anesthesia combined with intra-articular ropivacaine can provide satisfactory pain control in ankle arthroscopic surgery: A retrospective cohort study

Wei

et al. 2020

J Orthop Surg (Hong Kong)

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Background: Local anesthesia (LA) is widely used in knee arthroscopic surgery but not in ankle arthroscopy. Objective: To understand the effectiveness and safety of LA combined with ropivacaine in pain control for ankle arthroscopy. Study Design: Retrospective cohort. Methods: We retrospectively collected data for patients who underwent ankle arthroscopy from April 2012 to April 2017. Patients were grouped by anesthesia method: LA, LA with ropivacaine (LA+R), spinal anesthesia (SA), and SA with ropivacaine (SA+R). Intra- and postoperative visual analog scale (VAS) scores, complications, doses of supplemental pain medication, hospitalization cost and duration, and satisfaction with pain control during hospitalization were analyzed. Results: The study included 276 patients (LA: 93; LA+R: 124; SA: 31; SA+R: 28). The LA and LA+R groups had significantly higher intraoperative VAS scores (LA vs. SA, p = 0.001; LA vs. SA+R, p = 0.002; LA+R vs. SA, p = 0.00; LA+R vs. SA+R, p = 0.00), but fewer complications, than the SA and SA+R groups. The LA+R and SA+R groups had significantly better outcomes for postoperative pain control (LA vs. LA+R, p = 0.01; LA vs. SA+R, p = 0.01; SA vs. SA+R, p = 0.01; SA vs. LA+R, p = 0.03) and required less supplemental pain medication. Hospitalization cost was lower and duration shorter in the LA and LA+R groups than in the SA and SA+R groups. There was no significant difference in satisfaction among the four groups. Limitations: This was a single-center retrospective and relatively short-term study. Conclusions: LA+R which could be safely applied in ankle arthroscopy provided satisfactory pain control, reduced postoperative pain intensity, fewer complications, shorter hospital stay, and good cost-effectiveness. It can be safely applied in ankle arthroscopy for the specific patients with ankle osteoarthritis.

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Section: Introductionmentioning

confidence: 99%

Local anesthesia combined with intra-articular ropivacaine can provide satisfactory pain control in ankle arthroscopic surgery: A retrospective cohort study

Wei

et al. 2020

J Orthop Surg (Hong Kong)

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“…Use of RA is known to prevent or attenuate excessive stress response during and after surgery. RA markedly decreased recovery time and postoperative pain, with similar levels of patient satisfaction when compared to GA [3,4].…”

Section: Introductionmentioning

confidence: 99%

Effect of different anaesthetic techniques on gene expression profiles in patients who underwent hip arthroplasty

et al. 2019

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Objectives To investigate the modulation of genes whose expression level is indicative of stress and toxicity following exposure to three anaesthesia techniques, general anaesthesia (GA), regional anaesthesia (RA), or integrated anaesthesia (IA). Methods Patients scheduled for hip arthroplasty receiving GA, RA and IA were enrolled at Rizzoli Orthopaedic Institute of Bologna, Italy and the expression of genes involved in toxicology were evaluated in peripheral blood mononuclear cells (PBMCs) collected before (T0), immediately after surgery (T1), and on the third day (T2) after surgery in association with biochemical parameters. Results All three anaesthesia methods proved safe and reliable in terms of pain relief and patient recovery. Gene ontology analysis revealed that GA and mainly IA were associated with deregulation of DNA repair system and stress-responsive genes, which was observed even after 3-days from anaesthesia. Conversely, RA was not associated with substantial changes in gene expression. Conclusions Based on the gene expression analysis, RA technique showed the smallest toxicological effect in hip arthroplasty. Trial registration ClinicalTrials . gov number NCT03585647 .

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Bupivacaine/lidocaine/paracetamol

2017

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Preemptive Local Anesthesia in Ankle Arthroscopy

Abstract: Level I, prospective randomized study.

Cited by 4 publications

References 53 publications

Local anesthesia combined with intra-articular ropivacaine can provide satisfactory pain control in ankle arthroscopic surgery: A retrospective cohort study

Local anesthesia combined with intra-articular ropivacaine can provide satisfactory pain control in ankle arthroscopic surgery: A retrospective cohort study

Effect of different anaesthetic techniques on gene expression profiles in patients who underwent hip arthroplasty

Bupivacaine/lidocaine/paracetamol

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