Document Detail


Intra-articular morphine and postoperative analgesia after knee arthroscopy.
MedLine Citation:
PMID:  12424044     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The aim of this study was to evaluate the postoperative analgesic effect of intra-articular administration of a low- and a high-dose morphine solution after knee arthroscopy. Thirty patients who underwent diagnostic arthroscopy or arthroscopic meniscectomy were allocated in three groups. At the end of the arthroscopic procedure patients in Group A received intra-articularly 20 ml normal saline (N/S), Group B received 5 mg morphine in 20 ml N/S and Group C received 15 mg morphine in 20 ml N/S. The postoperative pain was assessed using a visual analogue scale for 24 h, while all the patients stayed at hospital. Side effects from the central action of opioids were not detected. Although the pain scores in the group of low-dose morphine were lower than in the control group, we failed to detect any significant differences in pain scores among the three groups. There was evidence that a high-dose can cause hyperalgesia.
Authors:
G I Drosos; I G Vlachonikolis; A N Papoutsidakis; N S Gavalas; G Anthopoulos
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Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  The Knee     Volume:  9     ISSN:  0968-0160     ISO Abbreviation:  Knee     Publication Date:  2002 Dec 
Date Detail:
Created Date:  2002-11-08     Completed Date:  2003-03-12     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9430798     Medline TA:  Knee     Country:  England    
Other Details:
Languages:  eng     Pagination:  335-40     Citation Subset:  IM    
Affiliation:
Crete Naval Hospital, Souda, Crete, Greece. drosos@otenet.gr
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MeSH Terms
Descriptor/Qualifier:
Adult
Analgesics, Opioid / therapeutic use*
Arthroscopy*
Dose-Response Relationship, Drug
Double-Blind Method
Female
Humans
Injections, Intra-Articular
Knee / surgery*
Male
Morphine / therapeutic use*
Pain Measurement
Pain, Postoperative / drug therapy*
Prospective Studies
Time Factors
Chemical
Reg. No./Substance:
0/Analgesics, Opioid; 57-27-2/Morphine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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