Dexamethasone Addition to Popliteal Nerve Blocks: Effects on Duration of Analgesia and Incidence of Postoperative Nerve Complication
| Autor: | Naudereh Noori, Glenn B. Pfeffer, David B. Thordarson, Kapil Anand |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Time Factors Pilot Projects Dexamethasone 03 medical and health sciences Postoperative Complications 0302 clinical medicine Double-Blind Method 030202 anesthesiology Humans Pain Management Medicine Orthopedic Procedures Orthopedics and Sports Medicine Prospective Studies 030212 general & internal medicine Podiatry Aged Tibial Neuropathy Pain Postoperative Duration of Therapy Intraoperative Care Foot business.industry Incidence Incidence (epidemiology) Nerve Block Middle Aged Duration (music) Anesthesia Popliteal nerve Female Surgery Analgesia Ankle business Complication Adjuvants Anesthesia medicine.drug |
| Zdroj: | Foot & Ankle Specialist. 14:39-45 |
| ISSN: | 1938-7636 1938-6400 |
| Popis: | Background. The purpose of this prospective, double-blinded randomized control pilot study was to evaluate the effect of adjunctive dexamethasone on analgesia duration and the incidence of postoperative neuropathic complication. Peripheral nerve blocks are an effective adjunct to decrease postoperative pain in foot and ankle surgery, and any possible modalities to augment their efficacy is of clinical utility. Methods. Patients were randomly assigned to a control group (n = 25) receiving nerve blocks of bupivacaine and epinephrine or an experimental group (n = 24) with an adjunctive 8 mg dexamethasone. The patients, surgeons, and anesthesiologists were all blinded to allocation. Patients had a minimum 1 year postoperative follow-up. Results. Forty-nine patients completed the protocol. There was no statistically significant difference in analgesia duration ( P = .38) or postoperative neuropathic complication incidence ( P = .67) between the 2 groups. Conclusions. The addition of dexamethasone to popliteal nerve blocks does not appear to affect analgesia duration or incidence of postoperative neuropathic complications. However, our study was underpowered, and we recommend a larger scale prospective study for validation.Levels of Evidence: Level II: Prospective, randomized control pilot study |
| Databáze: | OpenAIRE |
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