Assessment of factors associated with rebound pain following a single-shot analgesic injection for arthroscopic knee surgery
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Abstract
Rebound pain is a severe pain experienced following the cessation of anesthetic effects. The incidence and severity of rebound pain are influenced by various variables such as patient, surgical, and anesthetic factors. This study investigated the incidence of rebound pain in 108 patients who underwentarthroscopic knee surgery. A single-shot saphenous nerve block in the adductor canal with ropivacaine was administered for postoperative analgesia. Several factors associated with rebound pain were evaluated, including patient demographics (age, gender, body mass index), surgical factors (type of surgery, duration of surgery), and anesthesia-related factors. Results showed that the incidence of rebound pain was 19.4%. For every one-year increase in age, the risk of rebound pain decreased by approximately 3%; women had a 2.7-fold higher risk of rebound pain compared to men (OR = 2.7; 95% CI: 2.54 - 2.86); and complex surgeries (combining anterior cruciate ligament reconstruction and meniscus repair) were associated with a 1.23-fold higher risk of rebound pain compared to isolated anterior cruciate ligament reconstruction (OR = 1.23; 95% CI: 1.09 - 1.35). Rebound pain was associated with patient characteristics and surgical factors, but was less associated with the type of regional anesthetic used.
Article Details
Keywords
Rebound pain, regional anesthesia, analgesia, knee anthroscopy
References
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