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European Journal of General Medicine
Medical Investigations Society
ISSN: 1304-3897
Vol. 5, No. 1, 2008, pp. 36-41
Bioline Code: gm08006
Full paper language: English
Document type: Research Article
Document available free of charge

European Journal of General Medicine, Vol. 5, No. 1, 2008, pp. 36-41

 en Meperidine, As An Effective Adjuvant Agentin Unilateral Spinal Anaesthesia For Knee Arthroscopy
Fidan, Hüseyin; Ela, Yüksel; Altınel, Levent; Yegit, Muhammed & Pancaroğlu, Mahmut

Abstract

Aim: Unilateral spinal anaesthesia permits early recovery and short ambulatory stay. Our study aimed to search if meperidine may prolong sensory block time when added to hyperbaric bupivacaine.
Methods: This is a prospective, double blinded study: Ambulatory, 46 consenting patients aged 18-60 years, undergoing unilateral knee arthroscopy were randomized in two groups. saline group (n=20): 1.3 ml of hyperbaric bupivacaine and 0.2 ml of serum physiologic was used. Meperidine group (n=20): 1.3 ml of hyperbaric bupivacaine and 0.2 ml of 5% meperidine was used. Sensory block times, duration of spinal anaesthesia, intraoperative adverse effects and patient satisfaction were recorded.
Results: Mean duration of sensory block was greater in the meperidine group compared with the saline group. Strict unilateral block and hypotension were comparable among groups.
Conclusion: Addition of meperidine to hyperbaric bupivacaine in unilateral spinal anaesthesia prolonged analgesia without effecting total anesthesia time with minimal adverse effects.

Keywords
Unilateral spinal anaesthesia, meperidine, outpatient surgery, knee arthroscopy

 
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