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Sadjak, A; Wintersteiger, R; Zakel, D; Wenzl, T; Lankmayr, EP; Gferer, E; Likar, R.
[Peripheral analgesic effect of intra-articularly applied clonidine].
Schmerz. 2006; 20(4):293-4, 296-9 Doi: 10.1007/s00482-005-0448-1
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Führende Autor*innen der Med Uni Graz
Likar Rudolf
Sadjak Anton
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Abstract:
BACKGROUND AND AIM: Clonidine applied intra-articularly into the knee joint has a peripheral analgesic effect. We examined intra-articularly injected clonidine to determine whether resorption with a measurable systemic concentration could be detected. METHODS: A randomised, placebo-controlled double-blind study was carried out on patients undergoing knee arthroscopies. The 69 patients were randomised into three groups: group 1 received 150 ug clonidine intra-articularly, group two 150 ug clonidine intravenously and group three a placebo. Postoperative pain therapy was carried out with i.v. morphine hydrochloride. Pain scores and side-effects were documented for 24 h. RESULTS: There were no significant differences between the three groups in demographics, duration of operation, duration of anaesthesia, diagnoses or type of operation. The pain score at rest was significantly lower in group 1. In the first 20 min, the systemic concentration of clonidine was significantly higher in the intravenous group than in the intra-articular group. CONCLUSION: Intra-articular clonidine has a postoperative analgesic effect after knee arthroscopies due to a peripheral action.
Find related publications in this database (using NLM MeSH Indexing)
Adrenergic alpha-Agonists - administration & dosage, pharmacology
Analgesia - administration & dosage
Analgesics - administration & dosage, pharmacology
Arthroscopy - administration & dosage
Clonidine - administration & dosage, blood, pharmacokinetics, pharmacology
Double-Blind Method - administration & dosage
Gas Chromatography-Mass Spectrometry - administration & dosage
Humans - administration & dosage
Injections, Intra-Articular - administration & dosage
Knee Joint - administration & dosage
Pain Measurement - administration & dosage
Peripheral Nerves - drug effects, physiopathology
Placebos - administration & dosage

Find related publications in this database (Keywords)
clonidine
intraarticular pain therapy
arthroscopy
peripheral analgesia
pain score
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