Alipour M, Sharifian Attar A, Akbari A, Sheybani S, Ariamanesh AS, Elham Bakhtiari, Khademi SH, Makhmalbaf H, Farahi A. Intra-articular remifentanil on postoperative pain in knee arthroscopic surgery; a double blind randomized clinical trial.
J Orthop Sci 2023;
28:1082-1086. [PMID:
36216727 DOI:
10.1016/j.jos.2022.08.007]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/24/2022] [Revised: 07/24/2022] [Accepted: 08/30/2022] [Indexed: 02/09/2023]
Abstract
BACKGROUND
We aimed to assess the efficacy of intra-articular remifentanil in relieving postoperative pain after knee arthroscopy.
METHODS
We conducted a double-blind randomized clinical trial study on 60 patients. Patients were divided into two equal groups. The control group received 25 ml of intra-articular normal saline, and the intervention group received 200 μg of remifentanil dissolved in 25 ml of saline. We evaluated at rest postoperative pain at 1, 3, 6, 12, 18, and 24 h after the surgery using the Visual Analog Scale (VAS). Patients with VAS scores of 4 or more received meperidine (pethidine). The first time meperidine was requested and the total amount of meperidine consumed was recorded.
RESULTS
Out of 60 patients, 49 were male (81.6%), and the mean age of participants was 32.71 (7.02) years. An hour after the surgery, the control group showed a mean VAS score of 8.66 (1.26), and decreased to 2.53 (1.67) at the end of 24 h. The intervention group started with a mean VAS score of 2.23 (1.81) and ended at 0.10 (0.305). All patients in the control group and 11 (36.7%) patients in the intervention group asked for analgesics during follow-up. The mean total meperidine dose in the control and intervention groups was 108.33 (23.97) mg and 13.33 (19.40) mg, respectively (P < 0.001; 95% confidence interval of the difference 83.72 to 106.27).
CONCLUSIONS
Intra-articular remifentanil may decrease postoperative pain and analgesic requirements in patients undergoing knee arthroscopy.
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