PATIENT SATISFACTION WITH KNEE ARTHROSCOPY UNDER LOCAL ANESTHESIA AND SEDATION
Journal
Macedonian Journal of Anaesthesia
Date Issued
2024-12-21
Author(s)
Andonovski, Аlan
Popovska, Danica
DOI
10.55302/MJA2484017a
Abstract
Introduction: Knee arthroscopy can be performed under general, regional (spinal or epidural)
or local anesthesia with different patients’ satisfaction after surgery.
Purpose: The aim of our study was to evaluate the level of satisfaction in patients after knee
arthroscopy under local anesthesia.
Patients and methods: The study included 52 patients where knee arthroscopy under local anesthesia was performed at the University Clinic for Orthopedic Surgery in Skopje, North Macedonia in the period from February 2021 to February 2022. The study did not include patients
with allergy to the used drugs, infection at the portal sites of injection, any previous surgery to
the knee, patients with chronic extensive synovitis or gross deformity of the knee (severe varus
or valgus knee), as well as those with psychological problems, severe systemic disease, consumption of analgesics or non-steroidal anti-inflammatory drugs within 24 h of surgery, bleeding diathesis or coagulopathy. Evaluation of patients’ satisfaction after surgery was done one to three months later by determining the level of satisfaction, pain during surgery, anesthesia-related postoperative complications and preference of this anesthetic technique in the future.
Results: The majority of patients were either very satisfied (84.6%) or satisfied (9.6%) with local
anesthesia for knee arthroscopy. Only 1.9% of them were not satisfied at all. Most of the patients
reported no pain (80.8%) or mild pain (11.5%) during knee arthroscopy under local anesthesia.
Only 1.9% of patients complained of strong or very strong pain during arthroscopy. Of all patients,
51 (98%) had no anesthesia-related problems after surgery except one patient who had
redness, pain, swelling and blisters formation on the portal where local anesthetic and adrenaline
were previously injected. Most of the patients (96%) reported that they would choose local
anesthesia for knee arthroscopy again.
Conclusion: Our study showed that most patients had no pain, were very satisfied and would
choose local anesthesia for knee arthroscopy again.
or local anesthesia with different patients’ satisfaction after surgery.
Purpose: The aim of our study was to evaluate the level of satisfaction in patients after knee
arthroscopy under local anesthesia.
Patients and methods: The study included 52 patients where knee arthroscopy under local anesthesia was performed at the University Clinic for Orthopedic Surgery in Skopje, North Macedonia in the period from February 2021 to February 2022. The study did not include patients
with allergy to the used drugs, infection at the portal sites of injection, any previous surgery to
the knee, patients with chronic extensive synovitis or gross deformity of the knee (severe varus
or valgus knee), as well as those with psychological problems, severe systemic disease, consumption of analgesics or non-steroidal anti-inflammatory drugs within 24 h of surgery, bleeding diathesis or coagulopathy. Evaluation of patients’ satisfaction after surgery was done one to three months later by determining the level of satisfaction, pain during surgery, anesthesia-related postoperative complications and preference of this anesthetic technique in the future.
Results: The majority of patients were either very satisfied (84.6%) or satisfied (9.6%) with local
anesthesia for knee arthroscopy. Only 1.9% of them were not satisfied at all. Most of the patients
reported no pain (80.8%) or mild pain (11.5%) during knee arthroscopy under local anesthesia.
Only 1.9% of patients complained of strong or very strong pain during arthroscopy. Of all patients,
51 (98%) had no anesthesia-related problems after surgery except one patient who had
redness, pain, swelling and blisters formation on the portal where local anesthetic and adrenaline
were previously injected. Most of the patients (96%) reported that they would choose local
anesthesia for knee arthroscopy again.
Conclusion: Our study showed that most patients had no pain, were very satisfied and would
choose local anesthesia for knee arthroscopy again.
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