Anterior cruciate ligament injury of the knee.
Conditions
Interventions
The patients were divided into 4 groups equally submitted to spinal anesthesia with 15 mg of 0.5% isobaric bupivacaine, for which a tramadol 50mg EV of 6 / 6h, a salvage opioid, was added to the immed
Drug
Procedure/surgery
Sponsors
Hospital Universitário Cajuru
Hospital Universitário Cajuru
Eligibility
Age
18 Years to 65 Years
Inclusion criteria
Inclusion criteria: Patients submitted to elective surgery using the technique of anatomical reconstruction of the ACL with flexor tendons (semitendinous and gracilis); age between 18 and 65 years; classified as ASA I or II; score of at least 15 on the Glasgow Coma Scale; with the capacity to correctly answer the questionnaire applied by the researcher; who signed the informed consent term.
Exclusion criteria
Exclusion criteria: Patients who did not meet the inclusion criteria; presence of other painful complaints that could confound the postoperative evaluation; sensory or motor neurological deficit of the lower limbs; infection at the puncture site; previous coagulopathies and / or INR less or equal 1.5; with another contraindication to the proposed technique; history of allergic reaction to some of the drugs used in the studies; patients with diabetes mellitus due to the increased probability of previous neuropathy due to the disease.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Postoperative pain intensity was assessed at 6, 12 and 24 hours post-operatively using the numerical visual scale (NVA) between 0 and 10.;There was no statistically significant difference in the intensity of postoperative pain among the four groups analyzed. | — |
Secondary
| Measure | Time frame |
|---|---|
| The need for postoperative rescue opioids, adverse reactions such as nausea and vomiting, pruritus and urinary retention, occurrence of falls and patient satisfaction with the proposed technique were evaluated.; It was observed a greater occurrence of urinary retention in the subarachnoid morphine group and a greater occurrence of prolonged motor block of the quadriceps muscle in the group where the femoral nerve block with ropivacaine was performed at 0.37%, with no difference the other evaluated outcomes. | — |
Countries
Brazil
Contacts
Public ContactJoana Fiorentin
Sianest - Anestesia Florianópolis
Outcome results
None listed