Small-Dose S(+)-Ketamine Reduces Postoperative Pain When Applied with Ropivacaine in Epidural Anesthesia for Total Knee Arthroplasty

Anesthesia and Analgesia - Tập 92 Số 5 - Trang 1290-1295 - 2001
Sabine Himmelseher1,2, Doris Ziegler-Pithamitsis1, Helena Argiriadou1, Jan Martin1, S. Jelen-Esselborn1, E. Kochs1
1Implications: Epidural S(+)-ketamine applied with ropivacaine before surgery is a rational approach to decrease injury-induced pain sensitization. Epidural blockade with an N-methyl-d-aspartate receptor antagonist and a local anesthetic may provide better analgesia in the postoperative period than a local anesthetic alone.
2reprint requests to Sabine Himmelseher, Klinik für Anaesthesiologie, Klinikum rechts der Isar, Technische Universität München, Ismaningerstr. 22, D-81675 München, Germany. Address e-mail to [email protected].

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