Dexamethasone for increasing analgesic duration of single-shot inter-scalene block

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I.V. and perineural dexamethasone are equivalent in increasing the analgesic duration of a single-shot interscalene block with ropivacaine for shoulder surgery: a prospective, randomized, placebo-controlled study.

BACKGROUND Interscalene brachial plexus block (ISB) provides excellent, but time-limited analgesia. Dexamethasone added to local anaesthetics prolongs the duration of a single-shot ISB. However, systemic glucocorticoids also improve postoperative analgesia. The hypothesis was tested that perineural and i.v. dexamethasone would have an equivalent effect on prolonging analgesic duration of an ISB...

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Which is your choice for prolonging the analgesic duration of single-shot interscalene brachial blocks for arthroscopic shoulder surgery? intravenous dexamethasone 5 mg vs. perineural dexamethasone 5 mg randomized, controlled, clinical trial

The aim of this study was to compare the effect of intravenous (I.V.) dexamethasone with that of perineural dexamethasone on the prolongation of analgesic duration of single-shot interscalene brachial plexus blocks (SISB) in patients undergoing arthroscopic shoulder surgery. We performed a prospective, randomized, double-blind, placebo-controlled study. Patients undergoing elective arthroscopic...

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In recent years, adductor canal block (ACB) has been introduced as an alternative for femoral nerve block with a great advantage of preserving or minimally reducing quadriceps strength. The technique is relatively easy and is performed under ultrasound guidance. Despite growing evidence regarding efficacy and safety of ACB following knee surgery, use of ACB is still limited to high volume ortho...

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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...

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ژورنال

عنوان ژورنال: British Journal of Anaesthesia

سال: 2014

ISSN: 0007-0912

DOI: 10.1093/bja/aet455