Tourniquet inflation during arthroscopic knee ligament surgery does not increase postoperative pain
A double-blind clinical trial was conducted to determine the effect of inflation of a thigh tourniquet during anterior cruciate ligament repair on arthroscopic visibility, duration of procedure, postoperative pain and opioid consumption. Thirty patients were randomly allocated into two groups; Group...
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| Veröffentlicht in: | Canadian journal of anesthesia 1999-10, Vol.46 (10), p.925-929 |
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| creator | Hooper, J Rosaeg, O P Krepski, B Johnson, D H |
| description | A double-blind clinical trial was conducted to determine the effect of inflation of a thigh tourniquet during anterior cruciate ligament repair on arthroscopic visibility, duration of procedure, postoperative pain and opioid consumption.
Thirty patients were randomly allocated into two groups; Group I had the thigh tourniquet inflated during surgery whereas the tourniquet was not inflated in Group II patients. All patients received standardized general anesthesia and postoperative pain management. Supplemental analgesia was provided with i.v. morphine via a patient-controlled analgesia (PCA) apparatus. Verbal pain rating scores (0-10) were obtained after surgery.
Arthroscopic visibility was impaired in Group II patients (P < 0.0001), but this was ameliorated by increased irrigation flow or addition of epinephrine. Duration of surgery was similar in both groups. There was no difference between groups in postoperative morphine consumption (9.8 +/- 7.1 mg in Group I vs 11.4 +/- 10.2 mg in Group II) or in postoperative pain scores between groups.
Inflation of a thigh tourniquet did not result in increased pain or opioid consumption after arthroscopic ACL surgery. Arthroscopic visibility was somewhat impaired in some patients without the use of tourniquet. Finally, the duration of the surgical procedure was not increased in patients where the tourniquet was not inflated during the ACL repair. |
| doi_str_mv | 10.1007/BF03013125 |
| format | Article |
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Thirty patients were randomly allocated into two groups; Group I had the thigh tourniquet inflated during surgery whereas the tourniquet was not inflated in Group II patients. All patients received standardized general anesthesia and postoperative pain management. Supplemental analgesia was provided with i.v. morphine via a patient-controlled analgesia (PCA) apparatus. Verbal pain rating scores (0-10) were obtained after surgery.
Arthroscopic visibility was impaired in Group II patients (P < 0.0001), but this was ameliorated by increased irrigation flow or addition of epinephrine. Duration of surgery was similar in both groups. There was no difference between groups in postoperative morphine consumption (9.8 +/- 7.1 mg in Group I vs 11.4 +/- 10.2 mg in Group II) or in postoperative pain scores between groups.
Inflation of a thigh tourniquet did not result in increased pain or opioid consumption after arthroscopic ACL surgery. Arthroscopic visibility was somewhat impaired in some patients without the use of tourniquet. Finally, the duration of the surgical procedure was not increased in patients where the tourniquet was not inflated during the ACL repair.</description><identifier>ISSN: 0832-610X</identifier><identifier>EISSN: 1496-8975</identifier><identifier>DOI: 10.1007/BF03013125</identifier><identifier>PMID: 10522577</identifier><language>eng</language><publisher>United States: Springer Nature B.V</publisher><subject>Adult ; Analgesics, Opioid - administration & dosage ; Analgesics, Opioid - therapeutic use ; Anterior Cruciate Ligament - surgery ; Arthroscopy ; Double-Blind Method ; Female ; Humans ; Injections, Intravenous ; Knee - surgery ; Male ; Morphine - administration & dosage ; Morphine - therapeutic use ; Pain management ; Pain Measurement ; Pain, Postoperative - drug therapy ; Pain, Postoperative - epidemiology ; Reconstructive Surgical Procedures ; Surgery ; Tourniquets - adverse effects</subject><ispartof>Canadian journal of anesthesia, 1999-10, Vol.46 (10), p.925-929</ispartof><rights>Canadian Anesthesiologists 1999</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c346t-7d497a94d5581ea15ffb9835d20b859a563543d8a7860765e413f056f54315783</citedby><cites>FETCH-LOGICAL-c346t-7d497a94d5581ea15ffb9835d20b859a563543d8a7860765e413f056f54315783</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27905,27906</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10522577$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hooper, J</creatorcontrib><creatorcontrib>Rosaeg, O P</creatorcontrib><creatorcontrib>Krepski, B</creatorcontrib><creatorcontrib>Johnson, D H</creatorcontrib><title>Tourniquet inflation during arthroscopic knee ligament surgery does not increase postoperative pain</title><title>Canadian journal of anesthesia</title><addtitle>Can J Anaesth</addtitle><description>A double-blind clinical trial was conducted to determine the effect of inflation of a thigh tourniquet during anterior cruciate ligament repair on arthroscopic visibility, duration of procedure, postoperative pain and opioid consumption.
Thirty patients were randomly allocated into two groups; Group I had the thigh tourniquet inflated during surgery whereas the tourniquet was not inflated in Group II patients. All patients received standardized general anesthesia and postoperative pain management. Supplemental analgesia was provided with i.v. morphine via a patient-controlled analgesia (PCA) apparatus. Verbal pain rating scores (0-10) were obtained after surgery.
Arthroscopic visibility was impaired in Group II patients (P < 0.0001), but this was ameliorated by increased irrigation flow or addition of epinephrine. Duration of surgery was similar in both groups. There was no difference between groups in postoperative morphine consumption (9.8 +/- 7.1 mg in Group I vs 11.4 +/- 10.2 mg in Group II) or in postoperative pain scores between groups.
Inflation of a thigh tourniquet did not result in increased pain or opioid consumption after arthroscopic ACL surgery. Arthroscopic visibility was somewhat impaired in some patients without the use of tourniquet. Finally, the duration of the surgical procedure was not increased in patients where the tourniquet was not inflated during the ACL repair.</description><subject>Adult</subject><subject>Analgesics, Opioid - administration & dosage</subject><subject>Analgesics, Opioid - therapeutic use</subject><subject>Anterior Cruciate Ligament - surgery</subject><subject>Arthroscopy</subject><subject>Double-Blind Method</subject><subject>Female</subject><subject>Humans</subject><subject>Injections, Intravenous</subject><subject>Knee - surgery</subject><subject>Male</subject><subject>Morphine - administration & dosage</subject><subject>Morphine - therapeutic use</subject><subject>Pain management</subject><subject>Pain Measurement</subject><subject>Pain, Postoperative - drug therapy</subject><subject>Pain, Postoperative - epidemiology</subject><subject>Reconstructive Surgical Procedures</subject><subject>Surgery</subject><subject>Tourniquets - adverse effects</subject><issn>0832-610X</issn><issn>1496-8975</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNpdkE1LAzEQhoMoWqsXf4AEDx6E1clm83XUYlUoeKngbUl3szV1m6zJrtB_b0oLiqdhhmdeZh6ELgjcEgBx9zAFCoSSnB2gESkUz6QS7BCNQNI84wTeT9BpjCsAkJzJY3RCgOU5E2KEqrkfgrNfg-mxdU2re-sdrodg3RLr0H8EHyvf2Qp_OmNwa5d6bVyP4xCWJmxw7U3Ezm-Xq2B0NLjzsfedCSnpO3XaujN01Og2mvN9HaO36eN88pzNXp9eJvezrKIF7zNRF0poVdSMSWI0YU2zUJKyOoeFZEozTllBa6mF5CA4MwWhDTDepClhQtIxut7ldsGnh2Jfrm2sTNtqZ_wQS5F8UMV5Aq_-gauthXRbqfKcKgVcJehmB1VJQQymKbtg1zpsSgLl1nv56z3Bl_vEYbE29R90J5r-AG01fSU</recordid><startdate>19991001</startdate><enddate>19991001</enddate><creator>Hooper, J</creator><creator>Rosaeg, O P</creator><creator>Krepski, B</creator><creator>Johnson, D H</creator><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8FQ</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>19991001</creationdate><title>Tourniquet inflation during arthroscopic knee ligament surgery does not increase postoperative pain</title><author>Hooper, J ; Rosaeg, O P ; Krepski, B ; Johnson, D H</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c346t-7d497a94d5581ea15ffb9835d20b859a563543d8a7860765e413f056f54315783</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Adult</topic><topic>Analgesics, Opioid - administration & dosage</topic><topic>Analgesics, Opioid - therapeutic use</topic><topic>Anterior Cruciate Ligament - surgery</topic><topic>Arthroscopy</topic><topic>Double-Blind Method</topic><topic>Female</topic><topic>Humans</topic><topic>Injections, Intravenous</topic><topic>Knee - surgery</topic><topic>Male</topic><topic>Morphine - administration & dosage</topic><topic>Morphine - therapeutic use</topic><topic>Pain management</topic><topic>Pain Measurement</topic><topic>Pain, Postoperative - drug therapy</topic><topic>Pain, Postoperative - epidemiology</topic><topic>Reconstructive Surgical Procedures</topic><topic>Surgery</topic><topic>Tourniquets - adverse effects</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hooper, J</creatorcontrib><creatorcontrib>Rosaeg, O P</creatorcontrib><creatorcontrib>Krepski, B</creatorcontrib><creatorcontrib>Johnson, D H</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Canadian Business & Current Affairs Database</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Canadian journal of anesthesia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hooper, J</au><au>Rosaeg, O P</au><au>Krepski, B</au><au>Johnson, D H</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Tourniquet inflation during arthroscopic knee ligament surgery does not increase postoperative pain</atitle><jtitle>Canadian journal of anesthesia</jtitle><addtitle>Can J Anaesth</addtitle><date>1999-10-01</date><risdate>1999</risdate><volume>46</volume><issue>10</issue><spage>925</spage><epage>929</epage><pages>925-929</pages><issn>0832-610X</issn><eissn>1496-8975</eissn><abstract>A double-blind clinical trial was conducted to determine the effect of inflation of a thigh tourniquet during anterior cruciate ligament repair on arthroscopic visibility, duration of procedure, postoperative pain and opioid consumption.
Thirty patients were randomly allocated into two groups; Group I had the thigh tourniquet inflated during surgery whereas the tourniquet was not inflated in Group II patients. All patients received standardized general anesthesia and postoperative pain management. Supplemental analgesia was provided with i.v. morphine via a patient-controlled analgesia (PCA) apparatus. Verbal pain rating scores (0-10) were obtained after surgery.
Arthroscopic visibility was impaired in Group II patients (P < 0.0001), but this was ameliorated by increased irrigation flow or addition of epinephrine. Duration of surgery was similar in both groups. There was no difference between groups in postoperative morphine consumption (9.8 +/- 7.1 mg in Group I vs 11.4 +/- 10.2 mg in Group II) or in postoperative pain scores between groups.
Inflation of a thigh tourniquet did not result in increased pain or opioid consumption after arthroscopic ACL surgery. Arthroscopic visibility was somewhat impaired in some patients without the use of tourniquet. Finally, the duration of the surgical procedure was not increased in patients where the tourniquet was not inflated during the ACL repair.</abstract><cop>United States</cop><pub>Springer Nature B.V</pub><pmid>10522577</pmid><doi>10.1007/BF03013125</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Analgesics, Opioid - administration & dosage Analgesics, Opioid - therapeutic use Anterior Cruciate Ligament - surgery Arthroscopy Double-Blind Method Female Humans Injections, Intravenous Knee - surgery Male Morphine - administration & dosage Morphine - therapeutic use Pain management Pain Measurement Pain, Postoperative - drug therapy Pain, Postoperative - epidemiology Reconstructive Surgical Procedures Surgery Tourniquets - adverse effects |
| title | Tourniquet inflation during arthroscopic knee ligament surgery does not increase postoperative pain |
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