Kirkeby O J, Aase S
Acta Orthop Scand. 1987 Apr;58(2):133-4. doi: 10.3109/17453678709146458.
We report our experience with knee arthroscopy in local anesthesia in 64 patients with subsequent arthrotomy in 14 of these. The effectiveness of the anesthetic method was evaluated by both the patient and the anesthetic personnel. There was no difference in pain assessment between arthroscopy alone and arthroscopy followed by arthrotomy. Half of the patients had no pain and only one regarded the procedure as very painful. Supplementary analgesia with 0.05 mg fentanyl was given to half of the patients not undergoing arthrotomy and to two thirds of those who had arthrotomy. It was not necessary to abandon any arthroscopic or surgical procedure because of pain. We conclude that local anesthesia is a safe and practical method for diagnostic arthroscopy, arthroscopic surgery, and minor arthrotomy.
我们报告了64例在局部麻醉下行膝关节镜检查患者的经验，其中14例随后进行了关节切开术。麻醉方法的有效性由患者和麻醉人员共同评估。单纯关节镜检查与关节镜检查后行关节切开术的疼痛评估无差异。一半患者无疼痛，只有1例认为该操作非常疼痛。未行关节切开术的患者中有一半以及行关节切开术的患者中有三分之二接受了0.05mg芬太尼的辅助镇痛。没有因为疼痛而放弃任何关节镜或手术操作。我们得出结论，局部麻醉是诊断性关节镜检查、关节镜手术和小型关节切开术的一种安全实用的方法。
