Munk S, Pedersen K M
Haderslev Sygehus, ortopaedkirurgisk afdeling.
Ugeskr Laeger. 1994 Jan 17;156(3):313-6.
The benefit of anaesthesiological assistance during arthroscopy of the knee in local anaesthesia was evaluated in a cost-effectiveness analysis. One hundred consecutive patients had arthroscopy of the knee performed in local anaesthesia without anesthesiological assistance. In 15% of the cases the arthroscopy was insufficient because of pain reaction. Sixteen percent of the patients indicated that they would prefer general anaesthesia for a similar procedure in the future. The costs for arthroscopy of the knee in local anaesthesia without anaesthesiological assistance were calculated to Dkr. 2055. The amount includes costs for rearthroscopy in local anaesthesia with anaesthesiological assistance for 15% of the patients. Thirty-three patients had arthroscopy of the knee done in local anaesthesia with anaesthesiological assistance. General anaesthesia was needed for twelve percent of the patients. The cost for this procedure, including the costs of possible general anaesthesia were calculated to Dkr. 2458. Any significant difference in the sensation of pain during the arthroscopy could not be demonstrated between the two groups. Based on this study it is recommended that arthroscopy of the knee in local anaesthesia is planned without anaesthesiological assistance.
在一项成本效益分析中评估了局部麻醉下膝关节镜检查时麻醉辅助的益处。连续100例患者在无麻醉辅助的情况下接受了局部麻醉下的膝关节镜检查。在15%的病例中，由于疼痛反应，关节镜检查不充分。16%的患者表示他们将来进行类似手术时更倾向于全身麻醉。无麻醉辅助的局部麻醉下膝关节镜检查的费用计算为2055丹麦克朗。该金额包括15%患者在有麻醉辅助的情况下再次进行局部麻醉下关节镜检查的费用。33例患者在有麻醉辅助的情况下接受了局部麻醉下的膝关节镜检查。12%的患者需要全身麻醉。该手术的费用，包括可能的全身麻醉费用计算为2458丹麦克朗。两组之间在关节镜检查期间的疼痛感觉上未显示出任何显著差异。基于这项研究，建议在无麻醉辅助的情况下计划局部麻醉下的膝关节镜检查。
