Analgesia and side effects of the addition of 10 or 20 µg fentanyl to articaine in spinal anesthesia for knee arthroscopy: a randomized and observer-blinded study.

Author: RosenbergPer, SalonenMerja, StenmanPaula, TarkkilaPekka

Paper Details 
Original Abstract of the Article :
Articaine, a popular and rapidly acting local anesthetic in dentistry, has been also found to be beneficial in ambulatory spinal anesthesia. Analgesia in the intraoperative and immediate postoperative period may be further improved by adding fentanyl to the local anesthetic solution for spinal anest...See full text at original site
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引用元:
https://doi.org/10.1007/s00540-017-2344-0

データ提供:米国国立医学図書館(NLM)

Adding Fentanyl to Articaine: A Dose-Dependent Approach to Analgesia

The world of spinal anesthesia for knee arthroscopy is a fascinating one. Articaine, a popular local anesthetic, is often used in this setting. But, what happens when you mix it with fentanyl? This study delves into the potential benefits and side effects of adding fentanyl to the mix. The researchers investigated the effects of different doses of fentanyl and its impact on pain relief and potential complications.

Fentanyl: A Dose-Dependent Impact on Pain Relief

The study found that adding fentanyl to articaine in spinal anesthesia for knee arthroscopy can improve pain relief. However, the amount of fentanyl added matters. Higher doses of fentanyl were associated with better pain control, but also a greater risk of side effects. This research emphasizes the importance of carefully tailoring the dosage of fentanyl to meet individual patient needs and minimize the risk of complications. It's like trying to find the perfect balance of spice in a dish - too little and it's bland, too much and it's too hot! Finding the right dose of fentanyl is crucial for achieving effective pain relief without causing unwanted side effects.

Balancing the Benefits and Risks

Imagine a camel traveling through the desert. The camel must balance its need for water with its need to avoid dangerous mirages. Similarly, in this study, the researchers had to weigh the benefits of increased pain relief with the risks of side effects. The study provides valuable insights into the dose-dependent effects of fentanyl and the importance of personalized care when using this medication. It's a reminder that every patient is unique, and their treatment needs should be carefully considered.

Dr. Camel's Conclusion

This study shows that adding fentanyl to articaine in spinal anesthesia for knee arthroscopy can be a valuable tool for improving pain relief. However, the dose of fentanyl must be carefully tailored to each patient to maximize pain control while minimizing the risk of side effects. As Dr. Camel, I advocate for a cautious approach to pain management, balancing the benefits with the risks and ensuring that every patient receives personalized care.

Date :
  1. Date Completed 2017-12-07
  2. Date Revised 2018-12-02
Further Info :

Pubmed ID

28386739

DOI: Digital Object Identifier

10.1007/s00540-017-2344-0

Related Literature

SNS
PICO Info
in preparation
Languages

English

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