الفهرس 
AMBULATORY SURGERYOnly 14 pages are availabe for public view
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Abstract
ABSTRACT
Background: One of the most popular orthopedic surgeries is knee arthroscopy. It is challenging to provide adequate analgesia with motor preservation to allow for a shorter hospital stay and a faster recovery. Good pain control and side effects reduction can be done easily using the multimodal analgesia methods. There are various analgesic drugs and techniques can be used as patient education, pre-emptive analgesia, pharmacological methods and regional analgesia technique.
Aim of the Work: to compare between combined intrathecal prilocaine and adductor canal block vs intrathecal bupivacaine alone regarding the duration of motor block in ambulatory knee arthroscopy.
Patients and Methods: The study was conducted on eighty random patients who were scheduled to undergo knee arthroscopy and were divided into two equal groups (40 each).
Results: Patients were monitored and assessed post-operatively for 24 hours and they were compared regarding time of motor block regression to Bromage score 1 starting from spinal block, sensory block duration, postoperative analgesic effect (pain scale), postoperative opioid consumption, spontaneous bladder voiding, postoperative patient satisfaction level and the incidence of PONV and headache. The side effects were also monitored, managed and compared.
Conclusion: the spinal anesthesia for knee arthroscopic surgeries, using the hyperbaric prilocaine 2%, causes shorter motor block duration than using the bupivacaine, which leads to earlier post-operative ambulation and discharge and better patient satisfaction. Additionally, using the ACB reduces the need for opiods during the first 24 hours following the surgery in conjunction with other pain management techniques for knee arthroscopy. Also, it preserves the quadriceps muscle power, which is important for early ambulation and patient satisfaction