Building Blocks: Studies of Adjunct Perineural <i>vs.</i> Systemic Dexamethasone in Peripheral Nerve Blocks

Dexamethasone and peripheral nerve blocks: on the nerve or intravenous?

In a past issue of the British Journal of Anaesthesia, Desmet and colleagues report that i.v. dexamethasone is equivalent to perineural dexamethasone in prolonging the analgesic duration of a single-shot interscalene block with ropivacaine. In their study, 150 patients presenting for arthroscopic shoulder surgery with an interscalene brachial plexus block (BPB) were randomized into three groups...

Peripheral nerve blocks in children

The performance of peripheral nerve blocks in children is similar to adults. Interestingly most of the techniques described below are often underused, and therefore only a few publications are available. We perform the entire spectrum of blocks in our daily clinical practice, and it is important to state that most of ultrasound guided blocks reflect our personal experience and not all technique...

Perineural Dexamethasone to Improve Postoperative Analgesia with Peripheral Nerve Blocks: A Meta-Analysis of Randomized Controlled Trials

Background. The overall effect of perineural dexamethasone on postoperative analgesia outcomes has yet to be quantified. The main objective of this quantitative review was to evaluate the effect of perineural dexamethasone as a nerve block adjunct on postoperative analgesia outcomes. Methods. A systematic search was performed to identify randomized controlled trials that evaluated the effects o...

Evaluation of Updating Methods in Building Blocks Dataset

With the increasing use of spatial data in daily life, the production of this data from diverse information sources with different precision and scales has grown widely. Generating new data requires a great deal of time and money. Therefore, one solution is to reduce costs is to update the old data at different scales using new data (produced on a similar scale). One approach to updating data i...

Clinical benchmarks regarding multimodal peripheral nerve blocks for postoperative analgesia: observations regarding combined perineural midazolam-clonidine-buprenorphine-dexamethasone.