The effect of intraarticular injection of morphine and bupivacaine on postarthroscopic pain control... presented at the 20th annual meeting of the AOSSM, Palm Desert, California, June 29, 1994.
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| Title: | The effect of intraarticular injection of morphine and bupivacaine on postarthroscopic pain control... presented at the 20th annual meeting of the AOSSM, Palm Desert, California, June 29, 1994. |
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| Authors: | Ruwe PA (AUTHOR), Klein I (AUTHOR), Shields CL (AUTHOR) |
| Source: | American Journal of Sports Medicine. Jan/Feb95, Vol. 23 Issue 1, p59-64. 6p. |
| Abstract: | This study sought to compare the effects of morphine, bupivacaine, and saline injected into the knee after arthroscopic surgery. In a double-blind, randomized trial, 124 patients received either bupivacaine, morphine, bupivacaine and morphine, or saline at the completion of surgery. Postoperative pain was assessed with a 100-mm visual analog pain scale. Analgesic requirements were calculated, and weightbearing status was recorded. We found that morphine alone injected intraarticularly at the completion of arthroscopic knee surgery had no significant effect on postoperative pain, need for supplemental analgesia, or weightbearing status. Patients receiving morphine in combination with bupivacaine did not demonstrate any statistically significant improvement over those receiving bupivacaine alone. Therefore, our results failed to show any beneficial effect of morphine used for postoperative analgesia, either alone or in combination with bupivacaine. The overall pattern in all patients demonstrated decreased pain scores, decreased analgesic use, and increased weightbearing status as the observation period progressed. Finally, preoperative pain was correlated with pain at discharge, indicating that the most significant predictor of postoperative pain was preoperative level of discomfort. [ABSTRACT FROM AUTHOR] |
| Copyright of American Journal of Sports Medicine is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Education Research Complete |
| FullText | Text: Availability: 0 |
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| Header | DbId: ehh DbLabel: Education Research Complete An: 107404583 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: The effect of intraarticular injection of morphine and bupivacaine on postarthroscopic pain control... presented at the 20th annual meeting of the AOSSM, Palm Desert, California, June 29, 1994. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Ruwe+PA%22">Ruwe PA</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Klein+I%22">Klein I</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Shields+CL%22">Shields CL</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22American+Journal+of+Sports+Medicine%22">American Journal of Sports Medicine</searchLink>. Jan/Feb95, Vol. 23 Issue 1, p59-64. 6p. – Name: Abstract Label: Abstract Group: Ab Data: This study sought to compare the effects of morphine, bupivacaine, and saline injected into the knee after arthroscopic surgery. In a double-blind, randomized trial, 124 patients received either bupivacaine, morphine, bupivacaine and morphine, or saline at the completion of surgery. Postoperative pain was assessed with a 100-mm visual analog pain scale. Analgesic requirements were calculated, and weightbearing status was recorded. We found that morphine alone injected intraarticularly at the completion of arthroscopic knee surgery had no significant effect on postoperative pain, need for supplemental analgesia, or weightbearing status. Patients receiving morphine in combination with bupivacaine did not demonstrate any statistically significant improvement over those receiving bupivacaine alone. Therefore, our results failed to show any beneficial effect of morphine used for postoperative analgesia, either alone or in combination with bupivacaine. The overall pattern in all patients demonstrated decreased pain scores, decreased analgesic use, and increased weightbearing status as the observation period progressed. Finally, preoperative pain was correlated with pain at discharge, indicating that the most significant predictor of postoperative pain was preoperative level of discomfort. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of American Journal of Sports Medicine is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1177/036354659502300110 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 6 StartPage: 59 Titles: – TitleFull: The effect of intraarticular injection of morphine and bupivacaine on postarthroscopic pain control... presented at the 20th annual meeting of the AOSSM, Palm Desert, California, June 29, 1994. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Ruwe PA – PersonEntity: Name: NameFull: Klein I – PersonEntity: Name: NameFull: Shields CL IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 01 Text: Jan/Feb95 Type: published Y: 1995 Identifiers: – Type: issn-print Value: 03635465 Numbering: – Type: volume Value: 23 – Type: issue Value: 1 Titles: – TitleFull: American Journal of Sports Medicine Type: main |
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