Volume : 5, Issue : 8, August - 2016

A comparative study of post operative analgesic effect of intra-articular levobupivacaine and levobupivacaine with fentanyl in arthroscopic knee surgery.

Dr Haripada Das, Dr. Sankar Pal, Prof. Dr Sampa Dutta Gupta, Dr. Bimal Kumar Hajra, Dr. Aritra Bhattacharya

Abstract :

<p>&nbsp;Introduction: This study was undertaken to compare and evaluate the analgesic efficacy between levobupuvacaine and levobupivacaine - fentanyl combination for post operative pain relief after arthroscopic knee surgery . Aims to compare total rescue analgesia requirement in first 24 hrs in these two groups and compare the adverse effects. Methodology: 66 adult patients randomly allocated in two groups to received 20 ml 0.5% levobupivacaine with 1ml normal saline and 20ml 0.5% levobupivacaine with 1ml fentanyl. At the end of arthroscopic procedure done under general anesthesia before port closure, study drugs were administered. Intramuscular Diclofenac 75mg uses as rescue analgesic when VAS&gt;4. Results: Time of rescue analgesia in Group A was 335.75&plusmn;30.39 minutes compared to Group B 373.81&plusmn;25.70 minutes. Total rescue analgesia in Group A were 1.687&plusmn;0.4709 compared to Group B;1.39&plusmn;0.4961. No adverse effects observed . Conclusion: Intra-articular levobupivacaine with fentanyl is more efficacious than levobupivacaine alone.</p>