Keywords:
Musculoskeletal joint, Extremities, Musculoskeletal system, Fluoroscopy, Percutaneous, Comparative studies, Equipment, Efficacy studies, Toxicity, Drugs / Reactions, Outcomes
Authors:
M. R. F. Jaring1, L. Duerden1, S. E. Davies1, G. CHATZAKIS2, S. James2, F. Jewell2, C. Pawley2; 1Bristol/UK, 2Gloucester/UK
DOI:
10.26044/ecr2019/C-1769
Results
45 pains diaries were returned completed during the 5 months of data collection (return rate approaching 50%).
Of these 27 were from the levobupivacaine group and 18 were in the saline group.
There was an even mix of shoulder and hip joints between the two groups,
however the levobupivicaine group contained more wrists,
and the saline group contained the only knee ( Table 1 ).
When compared to the patient’s baseline pain scores,
at 15 minutes there was a modest reduction in overall pain in the levobupivacaine group (-0.2) compared to a modest increase in overall pain (+0.1) in the saline group ( Fig. 2 ).
Although small this difference was statistically significant (p=0.039) ( Table 2 ).
At 4 hours there was a slight increase in pain in both groups (+0.9 levobupivacaine and +1.1 saline).
At 1 day and 1 week the anaesthetic group had higher pain scores than the saline group (+1.8 and +1.1 compared to +1.1 and +0.4).
However,
between 4 hours and 1 week the differences between the groups were not found to be statistically significant (p=0.077-0.345).