Yacobucci G N, Bruce R, Conahan T J, Kitz D S, Torg J S
Sports Medicine Center, University of Pennsylvania, Philadelphia 19104.
Arthroscopy. 1990;6(4):311-4. doi: 10.1016/0749-8063(90)90062-i.
This report delineates the efficacy of local anesthesia in the performance of arthroscopic surgery of the knee. A retrospective review of 500 cases revealed that only three required administration of general anesthesia to successfully complete the procedure. A prospective study comparing fentanyl, midazolam, and fentanyl/midazolam combinations as intravenous supplements was performed. Meticulous surgical technique combined with local anesthesia and some form of intravenous sedation in minimal therapeutic dosage will provide satisfactory conditions to perform surgical arthroscopy of the knee.
本报告阐述了局部麻醉在膝关节关节镜手术中的疗效。对500例病例的回顾性研究表明，只有3例需要使用全身麻醉才能成功完成手术。进行了一项前瞻性研究，比较芬太尼、咪达唑仑以及芬太尼/咪达唑仑联合用药作为静脉补充剂的效果。精细的手术技术结合局部麻醉和最低治疗剂量的某种形式的静脉镇静，将为进行膝关节手术关节镜检查提供满意的条件。
