Agri Dergisi, cilt.6, sa.1, ss.21-24, 1994 (Scopus)
In our study we aimed to investigate the effects of intraarticular morphine in various doses on postoperative pain and analgesic requirements in arthoscopic procedures. At the end of the operation patients were separated into three groups double blindly. While physiologic serum 20 ml was given intraarticularly to group I (control group, n = 11) morphine 1 and 5 mg in 20 ml physiologic serum was applied in group II (n = 11) and III (n = 13), respectively. In all patients, postoperative pain was assessed by visual analogue scala (VAS) for 24 hours. Any additional analgesic requirements and possible complications were followed. Pain intensity and analgesic need evaluated at 1, 6 and 24 hr. postoperatively was found less in morphine groups compared with the control group. Applying morphine 5 mg was found more effective than morphine 1 mg. It causes a significant decrease in pain intensity and additional analgesic requirements (p < 0.05). It is concluded that intraarticular morphine can provide a long term and effective analgesia in arthroscopies and also morphine 5 mg is more effective for this purpose.