Local anesthesia and sedation vs. spinal anesthesia for knee arthroscopy.
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| Title: | Local anesthesia and sedation vs. spinal anesthesia for knee arthroscopy. |
|---|---|
| Authors: | Díaz-Osuna, V.1 vanessa_d0@hotmail.com, Vilchez-Cavazos, F.2, Palacios-Ríos, D.1, Ibarra-Malacara, E. A.1, Espinosa-Galindo, A. M.1 |
| Source: | Medicina Universitaria. jul-sep2016, Vol. 18 Issue 72, p153-157. 5p. |
| Subjects: | LOCAL anesthesia, CONSCIOUS sedation, SPINAL anesthesia, ARTHROSCOPY, KNEE surgery |
| Abstract: | Objective: To evaluate the efficacy of local anesthesia and diagnostic or therapeutic Arthroscopy procedures and compare them with spinal anesthesia. Material and methods: We conducted a longitudinal, prospective, non-blind and analyst comparative clinical trial with two groups of 54 patients, aged 18--65 years. In the group assigned to local anesthesia and sedation, fentanyl, midazolam and propofol infusions were administered at the beginning of the surgery, the surgeon infiltrated ports and articular cavities with lidocaine and bupivacaine to provide postoperative analgesia. In the spinal anesthesia group, 7.5 mg of simple bupivacaine was injected into the cerebro-spinal fluid (CSF). Clinical indicators were evaluated and were contrasted using inferential statistics. Results: There was a significant difference in the following variables: time from the patient's entry to the beginning of the surgery (Local 39.19 min SBA 55. 56 min,), the group treated with SBA showing a statistically greater value (p < 0.01), and length of stay in the recovery area (Local 102.33 min SBA 143 min), with the SBA group having the longest time (p < 0.01). Conclusions: Values were observed to be significantly lower in the time from the anesthetic procedure until the beginning of the surgery and the time of discharge from the recovery in the group treated with local anesthesia and sedation technique, with a maximum value of EVA 3. In conclusion, this technique is a good choice for this type of procedure, having a lesser total duration for the procedure and recovery. [ABSTRACT FROM AUTHOR] |
| Copyright of Medicina Universitaria is the property of Medicina Universitaria 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: | MedicLatina |
| FullText | Text: Availability: 0 |
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| Header | DbId: lth DbLabel: MedicLatina An: 123365258 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Local anesthesia and sedation vs. spinal anesthesia for knee arthroscopy. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Díaz-Osuna%2C+V%2E%22">Díaz-Osuna, V.</searchLink><relatesTo>1</relatesTo><i> vanessa_d0@hotmail.com</i><br /><searchLink fieldCode="AR" term="%22Vilchez-Cavazos%2C+F%2E%22">Vilchez-Cavazos, F.</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Palacios-Ríos%2C+D%2E%22">Palacios-Ríos, D.</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Ibarra-Malacara%2C+E%2E+A%2E%22">Ibarra-Malacara, E. A.</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Espinosa-Galindo%2C+A%2E+M%2E%22">Espinosa-Galindo, A. M.</searchLink><relatesTo>1</relatesTo> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Medicina+Universitaria%22">Medicina Universitaria</searchLink>. jul-sep2016, Vol. 18 Issue 72, p153-157. 5p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22LOCAL+anesthesia%22">LOCAL anesthesia</searchLink><br /><searchLink fieldCode="DE" term="%22CONSCIOUS+sedation%22">CONSCIOUS sedation</searchLink><br /><searchLink fieldCode="DE" term="%22SPINAL+anesthesia%22">SPINAL anesthesia</searchLink><br /><searchLink fieldCode="DE" term="%22ARTHROSCOPY%22">ARTHROSCOPY</searchLink><br /><searchLink fieldCode="DE" term="%22KNEE+surgery%22">KNEE surgery</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Objective: To evaluate the efficacy of local anesthesia and diagnostic or therapeutic Arthroscopy procedures and compare them with spinal anesthesia. Material and methods: We conducted a longitudinal, prospective, non-blind and analyst comparative clinical trial with two groups of 54 patients, aged 18--65 years. In the group assigned to local anesthesia and sedation, fentanyl, midazolam and propofol infusions were administered at the beginning of the surgery, the surgeon infiltrated ports and articular cavities with lidocaine and bupivacaine to provide postoperative analgesia. In the spinal anesthesia group, 7.5 mg of simple bupivacaine was injected into the cerebro-spinal fluid (CSF). Clinical indicators were evaluated and were contrasted using inferential statistics. Results: There was a significant difference in the following variables: time from the patient's entry to the beginning of the surgery (Local 39.19 min SBA 55. 56 min,), the group treated with SBA showing a statistically greater value (p < 0.01), and length of stay in the recovery area (Local 102.33 min SBA 143 min), with the SBA group having the longest time (p < 0.01). Conclusions: Values were observed to be significantly lower in the time from the anesthetic procedure until the beginning of the surgery and the time of discharge from the recovery in the group treated with local anesthesia and sedation technique, with a maximum value of EVA 3. In conclusion, this technique is a good choice for this type of procedure, having a lesser total duration for the procedure and recovery. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Medicina Universitaria is the property of Medicina Universitaria 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: 10.1016/j.rmu.2016.06.004 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 5 StartPage: 153 Subjects: – SubjectFull: LOCAL anesthesia Type: general – SubjectFull: CONSCIOUS sedation Type: general – SubjectFull: SPINAL anesthesia Type: general – SubjectFull: ARTHROSCOPY Type: general – SubjectFull: KNEE surgery Type: general Titles: – TitleFull: Local anesthesia and sedation vs. spinal anesthesia for knee arthroscopy. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Díaz-Osuna, V. – PersonEntity: Name: NameFull: Vilchez-Cavazos, F. – PersonEntity: Name: NameFull: Palacios-Ríos, D. – PersonEntity: Name: NameFull: Ibarra-Malacara, E. A. – PersonEntity: Name: NameFull: Espinosa-Galindo, A. M. IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 07 Text: jul-sep2016 Type: published Y: 2016 Identifiers: – Type: issn-print Value: 16655796 Numbering: – Type: volume Value: 18 – Type: issue Value: 72 Titles: – TitleFull: Medicina Universitaria Type: main |
| ResultId | 1 |
