Intravenous or perineural dexamethasone for interscalene brachial plexus block: the equivalence not yet proven.
نویسندگان
چکیده
منابع مشابه
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...
متن کاملDexamethasone 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...
متن کاملI.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...
متن کاملPerineural vs intravenous administration of dexamethasone: more data are available.
Editor—We read with great interest the recent editorial wherein Martinez and Fletcher discussed the analgesic effects of i.v. and perineural administration of dexamethasone, afterpublication of asingle recent trial. After performing a systematic search in the PUBMED, CENTRAL, Embase, and Google ScholarTM databases without language restriction, we were able to capture two additional trials that ...
متن کاملIntravenous dexamethasone and perineural dexamethasone similarly prolong the duration of analgesia after supraclavicular brachial plexus block: a randomized, triple-arm, double-blind, placebo-controlled trial.
BACKGROUND AND OBJECTIVES Perineural dexamethasone prolongs the duration of single-injection peripheral nerve block when added to the local anesthetic solution. Postulated systemic mechanisms of action along with theoretical safety concerns have prompted the investigation of intravenous dexamethasone as an alternative, with decidedly mixed results. We aimed to confirm that addition of intraveno...
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ورودعنوان ژورنال:
- British journal of anaesthesia
دوره 112 1 شماره
صفحات -
تاریخ انتشار 2014