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KMID : 0371619980140020317
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Journal of Wonkwang Medical Science
1998 Volume.14 No. 2 p.317 ~ p.320
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Postoperative Analgesia for Arthroscopic knee Surgery with Intraarticular Ketorolac-Bupivacaine or Morphine-Bupivacaine
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Choi Yu-Sun
Chae Young-Nam
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Abstract
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Background: Systemic Ketorolac has been used effectively to manage postarthroscopic knee pain. However, reports on intraarticular injection of ketorolac for pain relief were few. We examined the effect of analgesia in intraarticular administration of ketorolac compared to morphine after knee surgery.
Methods: In randomized grouping, we studied 40 patients undergoing endoscopic knee surgery. The patients in group KB(n=23) received 30㎎ of ketorolac mixed with 20㎖ of 0.25% bupivacaine; those in group MB(n=17) received 5㎎ of morphine mixed with 20㎖ of 0.25% bupivacaine. We compared visual analogue score for pain, the number of patients for supplemental analgesics and the side effects of drug between two groups.
Results: There was no significant difference between two groups in the pain score and the eeds for supplemental analgesics.
Conclusion: Intraarticular ketorolac had no advantage compared to intraarticular morphine. So, we would caution against the wide spread use of intraarticular NSAIDs until their safety and efficacy can be established.
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KEYWORD
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Analgesia, intraarticular, Analgesics, ketorolac, morphine
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