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Journal of Cardiovascular Disease Research

2021, Vol: 8, Issue: 8
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    To compare the length of stay in post anaesthesia care unit (PACU) for patients undergoing, unilateral knee arthroscopic surgeries under general anaesthesia with ultrasound guided adductor canal block versus general anaesthesia with intravenous analgesic methods.


    Dr. Priyanka Gupta, Dr. Vaibhav Gupta
    JCDR. 2023: 1570-1574

    Abstract

    The aim of the study is to conclude, after interpretation of data found in this study, rescue analgesia requirement in PACU was found to be 47.5% in morphine group and only 10% in ACB group and antiemetic requirement in PACU was found to be 42.5% in morphine group and only 20% in ACB group. Also it was found that mean CBD time in morphine group was 25.50±10.12 and mean CBD time in ACB group was 14.00±6.72 which was found to be clinically and statistically significant (p value <0.001). Thus USG guided adductor canal block is a newer technique for post-operative analgesia after knee arthroscopy with promising results compared to intravenous analgesia for early functional recovery. However, more RCTs may be needed to confirm the efficacy of ACB. Result: The mean time based discharge (TBD) time was 60 minutes with no standard deviation and the mean criteria based discharge in morphine group was 25.50±10.12minutes and mean difference was found to be 34.50±10.12 minutes which was statistically significant. Also mean criteria based discharge in block group was 14.00±6.72 minutes and mean difference was found to be 46.00±6.72 minutes which was statistically significant.(P value <0.001). It was noted that rescue analgesia (inj tramadol 50mg) is required in 47.5% of patients in morphine group and in only 10% of patients in block group. Conclusion: To conclude, after interpretation of data found in this study, rescue analgesia requirement in PACU was found to be 47.5% in morphine group and only 10% in ACB group and antiemetic requirement in PACU was found to be 42.5% in morphine group and only 20% in ACB group. Also it was found that mean CBD time in morphine group was 25.50±10.12 and mean CBD time in ACB group was 14.00±6.72 which was found to be clinically and statistically significant (p value <0.001). Thus USG guided adductor canal block is a newer technique for post-operative analgesia after knee arthroscopy with promising results compared to intravenous analgesia for early functional recovery. However, more RCTs may be needed to confirm the efficacy of ACB.

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