Resumen

MARANGONI, Lucas D et al. Anestesia raquídea versus anestesia intrarticular en cirugía artroscópica de rodilla. Rev. Asoc. Argent. Ortop. Traumatol. [online]. 2016, vol.81, n.4, pp.258-263. ISSN 1852-7434.

Introduction: Knee arthroscopy is the most common surgical procedure to treat patients with meniscal and/or chondral injuries. The aim of this study was to compare the efficacy of spinal vs. intra-articular anesthesia in knee arthroscopy, to assess the quality of anesthesia, to describe the incidence of adverse effects and to determine the complications in both cases. Methods: Prospective, randomized study to compare two anesthetic procedures evaluating age, duration of surgery, duration of anesthesia, length of hospitalization, pain, patient satisfaction and costs. Student t test was used for statistics and probabilities. Level of significance: p <0.05. Results: Seventy patients were included, 35 were operated on under intra-articular anesthesia and 35 received spinal anesthesia. Hospital stay was longer in the spinal anesthesia group (7.34 hours; range 4-11) than in the other group (3.43 hours; range 2-5, [p <0.0001]). The cost variable showed a significant difference in favour of intra-articular anesthesia compared to spinal anesthesia (p <0.0001). Conclusion: The advantages found in favour of intra-articular anesthesia were: shortened hospital stays, avoidance of the undesirable effects of spinal anesthesia (motor block, nausea, vomiting, hypotension, transient loss of urinary sphincter and urinary retention [distended bladder]), reduced costs and increased patient acceptance.

Palabras clave : Knee arthroscopy; Local anesthesia; Intra-articular anesthesia.

        · resumen en Español     · texto en Español     · Español ( pdf )