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Intraarticular morphine administration provides pain relief after knee arthroscopy

Published online by Cambridge University Press:  12 September 2006

M. Kanbak ,
N. Akpolat ,
T. Öcal ,
M. N. Doral ,
M. Ercan  and
K. Erdem
M. Kanbak
Affiliation:
Department of Anaesthesiology and Reanimation and Department of Orthopaedic and Traumatology Surgery, Faculty of Medicine, Hacettepe University, Ankara, Turkey
N. Akpolat
Affiliation:
Department of Anaesthesiology and Reanimation and Department of Orthopaedic and Traumatology Surgery, Faculty of Medicine, Hacettepe University, Ankara, Turkey
T. Öcal
Affiliation:
Department of Anaesthesiology and Reanimation and Department of Orthopaedic and Traumatology Surgery, Faculty of Medicine, Hacettepe University, Ankara, Turkey
M. N. Doral
Affiliation:
Department of Anaesthesiology and Reanimation and Department of Orthopaedic and Traumatology Surgery, Faculty of Medicine, Hacettepe University, Ankara, Turkey
M. Ercan
Affiliation:
Department of Anaesthesiology and Reanimation and Department of Orthopaedic and Traumatology Surgery, Faculty of Medicine, Hacettepe University, Ankara, Turkey
K. Erdem
Affiliation:
Department of Anaesthesiology and Reanimation and Department of Orthopaedic and Traumatology Surgery, Faculty of Medicine, Hacettepe University, Ankara, Turkey
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Abstract

This present study investigated the effects of intraarticular morphine administration in 1mg and 5mg doses on post-operative pain relief and analgesic requirements for patients undergoing arthroscopic procedures. At the end of the operation patients were randomly allocated in a double-blinded fashion into three groups. The control group (Group 1) received normal saline 20 mL intraarticularly. The patients in the second and third groups received intraarticular morphine sulphate 1 and 5mg in saline 20 mL, respectively. Post-operative pain was assessed on the 1st, 6th and 24th hour by visual analogue scale (VSA). Supplementary analgesic requirement and possible complications were also followed. The intensity of pain and analgesic requirement were reduced more in the morphine 5mg group than in the control group. It is concluded, that the administration of intraarticular morphine 5mg provides long-lasting and effective analgesia after knee arthroscopy.

Keywords

opioidsmorphineintraarticularsurgerypainpost-operativesurgeryarthroscopyknee
Type
Original Article
Information
European Journal of Anaesthesiology , Volume 14 , Issue 2 , March 1997 , pp. 153 - 156
Copyright
1997 European Society of Anaesthesiology

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