Comparison of 4 mg dexamethasone versus 8 mg dexamethasone as an adjuvant to levobupivacaine in fascia iliaca block-a prospective study
The Korean Journal of Pain
;
: 261-267, 2018.
Artículo
en Inglés
| WPRIM
| ID: wpr-742199
ABSTRACT
BACKGROUND:
To compare the effects of adding two different doses of dexamethasone on the duration and quality of the fascia iliaca block in patients undergoing proximal femoral fracture surgery.METHODS:
A total of 60 patients (age 18–70 years) undergoing proximal femoral nailing surgery under spinal anesthesia were given fascia iliaca block after random assignment to one of the two groups Group H received an injection of levobupivacaine (0.5%) 28 ml with 2 ml (8 mg) dexamethasone, and Group L received an injection of levobupivacaine (0.5%) 28 ml with dexamethasone 1 ml (4 mg) with 1 ml normal saline. Assessment of the duration of analgesia and the total tramadol requirement over 48 hours were noted after a successful block.RESULTS:
The duration of analgesia was found to be significantly longer in Group H (17.02 ± 0.45 h) than in the Group L patients (14.29 ± 0.45 h) with a p-value of 0.000. Postoperative analgesic requirement (amount of tramadol in mg) was significantly higher in Group L (Q2 200.0; IQR 100.0, 200.0) as compared to Group H (Q2 100.0; IQR 100.0, 200.0) with a p-value of 0.034. No patient showed any sign of neurotoxicity.CONCLUSIONS:
Dexamethasone, in a dose of 8 mg, is superior to 4 mg when used as an adjuvant with levobupivacaine in the FIB. Though both prolonged analgesia and were effective in reducing oral/intravenous analgesics, 8 mg dexamethasone can be recommended as a more efficacious adjuvant to local anesthetics in the FIB.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Tramadol
/
Bupivacaína
/
Dexametasona
/
Estudios Prospectivos
/
Fascia
/
Fracturas del Fémur
/
Manejo del Dolor
/
Analgesia
/
Analgésicos
/
Anestesia Raquidea
Tipo de estudio:
Estudio observacional
Límite:
Humanos
Idioma:
Inglés
Revista:
The Korean Journal of Pain
Año:
2018
Tipo del documento:
Artículo
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