Local anesthesia for knee arthroscopy. Efficacy and cost benefits.
We performed a retrospective review of a series of knee arthroscopic procedures that were completed using local, general, or regional anesthesia to evaluate the efficacy of these anesthetic techniques. Operative time, complications or failures, procedures successfully performed, recovery room time and postoperative stay, and patient satisfaction were recorded. Local anesthesia with intravenous sedation compared favorably with the other techniques: operative time was not increased, a large variety of operative procedures were successfully completed, recovery time was significantly shortened, and patient satisfaction remained high. This technique offers several advantages over other types of anesthesia for knee arthroscopy, including improved cost effectiveness.
Shapiro
M S
MS
Department of Orthopaedic Surgery, University of California, Los Angeles 90024.
Safran
M R
MR
Crockett
H
H
Finerman
G A
GA
D000293:Adolescent; D000328:Adult; D000368:Aged; D000758:Anesthesia / Q000009:adverse effects / Q000191:economics / Q000379:methods; D000771:Anesthesia, Intravenous; D000772:Anesthesia, Local / Q000191:economics / Q000592:standards*; D001182:Arthroscopy / Q000191:economics / Q000379:methods*; D002045:Bupivacaine / Q000008:administration & dosage; D003365:Costs and Cost Analysis; D004837:Epinephrine / Q000008:administration & dosage; D005260:Female; D006801:Humans; D006993:Hypnotics and Sedatives / Q000008:administration & dosage; D007270:Injections, Intra-Articular; D007719:Knee Joint / Q000601:surgery*; D008297:Male; D008874:Midazolam / Q000008:administration & dosage; D008875:Middle Aged; D017060:Patient Satisfaction; D012189:Retrospective Studies
D006993:Hypnotics and Sedatives; D008874:Midazolam; D002045:Bupivacaine; D004837:Epinephrine