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Knee arthroscopy using local anesthesia
J Hultin1, P Hamberg, A Stenström
1Clinic Kärnan, Helsingborg, Sweden.
Summary
Local anesthesia is a feasible option for arthroscopy and arthroscopic surgery. This approach, using mepivacaine with adrenaline, proved safe and effective in most patients, with minimal complications observed during the study.
Area of Science:
- Orthopedic Surgery
- Anesthesiology
Background:
- Arthroscopy is a minimally invasive surgical procedure.
- Local anesthesia offers potential benefits for patient comfort and recovery.
Purpose of the Study:
- To evaluate the feasibility and safety of performing arthroscopy and arthroscopic surgery under local anesthesia.
- To determine the efficacy of mepivacaine with adrenaline for joint anesthesia in arthroscopic procedures.
Main Methods:
- Seventy patients underwent arthroscopy with local anesthesia using mepivacaine and adrenaline.
- Forty-nine patients proceeded to arthroscopic surgery.
- A 20-minute waiting period post-anesthetic injection was implemented for optimal medial joint anesthesia.
Main Results:
- The study confirmed the feasibility of both diagnostic and surgical arthroscopy under local anesthesia.
- Few complications were reported among the patient cohort.
- Successful anesthesia of the medial joint was achieved after the recommended waiting period.
Conclusions:
- Local anesthesia is a viable and safe option for the majority of patients undergoing arthroscopic procedures.
- The findings support the use of mepivacaine with adrenaline for effective local anesthesia in arthroscopy.
- Optimizing anesthetic waiting times is crucial for successful medial joint anesthesia during arthroscopic surgery.