E-ISSN 2602-3164
Ahead of Print | DOI: 10.14744/ejmi.2019.49186

Comparison of Analgesic Effects of Pure Bupivacaine and Morphine Added as Bupivacaine Adjuvant in USG Guided Adductor Canal Block Following Total Knee Arthroplasty

Kubra Turkoglu1, Isa Yildiz1, Kutay Ozturan2, Cengiz Isik2, Ibrahim Karagoz1, Hamit Yoldas1, Murat Bilgi1, Abdullah Demirhan1
1Department of Anesthesiology and Reanimation, Bolu Abant Izzet Baysal University Medical Faculty, Bolu, Turkey, 2Department of Orthopedics and Traumatology, Bolu Abant Izzet Baysal University Medical Faculty, Bolu, Turkey

Objectives: Total knee arthroplasty (TKA) is an operation that causes severe postoperative pain. Adductor canal block (ACB) is separated from the other peripheral blocks as a method that can provide analgesia by sensory blockade only. The aim of this study was to compare the analgesic effect of morphine-bupivacaine with pure bupivacaine in USG-guided ACB after TKA. Methods: Sixty patients aged between 40-80 years with ASA I-III physical status who were scheduled for TKA surgery in our hospital were included in this prospective randomized study. Patients were randomly divided into two groups as Group BM (bupivacaine + morphine) and Group B (bupivacaine) by closed envelope method, and then the groups were compared with each other. Results: In Group BM, compared to Group B, there was a significant decrease in visual analogue scale (VAS) values during rest and movement at 8th hour, 12-24 hours time zone analgesic consumption and additional analgesia usage. Conclusion: We conclude that the morphine added to bupivacaine in the adductor canal block reduces the VAS value at 8th hour and analgesic consumption. Keywords: Arthroplasty , Adductor canal block , Morphine


Cite This Article

Turkoglu K, Yildiz I, Ozturan K, Isik C, Karagoz I, Yoldas H, Bilgi M, Demirhan A. Comparison of Analgesic Effects of Pure Bupivacaine and Morphine Added as Bupivacaine Adjuvant in USG Guided Adductor Canal Block Following Total Knee Arthroplasty. ejmi. ; (): -

Corresponding Author: Yildiz I.