The Comparison of Intrathecal Ropivacaine with Bupivacaine for Knee Arthroscopy: A Meta-analysis of Randomized Controlled Trials

J Knee Surg DOI: 10.1055/s-0039-3402795The comparison of intrathecal ropivacaine with bupivacaine for knee arthroscopy remains controversial. We conduct a systematic review and meta-analysis to explore the efficacy of intrathecal ropivacaine versus bupivacaine for knee arthroscopy. We search PubMed, EMbase, Web of science, EBSCO, and Cochrane library databases through August 2019 for randomized controlled trials (RCTs) assessing the effect of intrathecal ropivacaine versus bupivacaine for knee arthroscopy. This meta-analysis is performed using the random effects model. Five RCTs are included in the meta-analysis. Overall, compared with intrathecal bupivacaine for knee arthroscopy, intrathecal ropivacaine is associated with increased onset time of motor block (mean difference [MD] = 2.05, 95% CI: 1.43–2.67, p 
Source: Journal of Knee Surgery - Category: Orthopaedics Authors: Tags: Original Article Source Type: research

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ConclusionWhile these practices were implemented because of sound biologic plausibility or encouraging observational data, well-done RCTs have failed to show evidence of effectiveness. These examples raise caution in introducing new clinical interventions into widespread clinical practice without sufficient high quality evidence demonstrating efficacy.
Source: Current Therapeutic Research - Category: Drugs & Pharmacology Source Type: research
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Source: Arthroscopy Techniques - Category: Surgery Source Type: research
Unfortunately, the author Jon Olav Drogset was incorrectly published in the original version and updated here. The original article has been corrected.
Source: Knee Surgery, Sports Traumatology, Arthroscopy - Category: Orthopaedics Source Type: research
Source: Knee Surgery, Sports Traumatology, Arthroscopy - Category: Orthopaedics Source Type: research
Authors: Meeks BD, Kiskaddon E, Sirois ZJ, Froehle A, Shroyer J, Laughlin RT Abstract INTRODUCTION: Analysis of the Fundamentals of Arthroscopy Surgery Training (FAST) workstation regarding increased proficiency and retention of basic arthroscopy skills in novice subjects. METHODS: First-year medical students from a single allopathic medical school performed weekly standardized FAST workstation modules for a consecutive 6 weeks. Primary outcomes evaluated were time to task completion and error rate on specific modules. Scores were analyzed using a one-way repeated measures analysis of variance design for overal...
Source: The Journal of the American Academy of Orthopaedic Surgeons - Category: Orthopaedics Tags: J Am Acad Orthop Surg Source Type: research
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Source: Journal of Orthopaedic Surgery and Research - Category: Orthopaedics Authors: Tags: Research article Source Type: research
Condition:   Rotator Cuff Tears Intervention:   Sponsor:   Rothman Institute Orthopaedics Completed
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Condition:   Sleep Disturbance Intervention:   Dietary Supplement: melatonin Sponsor:   Rothman Institute Orthopaedics Enrolling by invitation
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Condition:   Rotator Cuff Tears Intervention:   Sponsor:   Rothman Institute Orthopaedics Completed
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Condition:   Sleep Disturbance Intervention:   Dietary Supplement: melatonin Sponsor:   Rothman Institute Orthopaedics Enrolling by invitation
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
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