دورية أكاديمية
Dexamathasone added to levobupivacaine improves postoperative analgesia in ultrasound guided interscalene brachial plexus blockade for arthroscopic shoulder surgery
العنوان: | Dexamathasone added to levobupivacaine improves postoperative analgesia in ultrasound guided interscalene brachial plexus blockade for arthroscopic shoulder surgery |
---|---|
المؤلفون: | Youn Jin Kim, Guie Yong Lee, Dong Yeon Kim, Chi Hyo Kim, Hee-Jung Baik, Seok Heo |
المصدر: | Korean Journal of Anesthesiology, Vol 62, Iss 2, Pp 130-134 (2012) |
بيانات النشر: | Korean Society of Anesthesiologists, 2012. |
سنة النشر: | 2012 |
المجموعة: | LCC:Anesthesiology |
مصطلحات موضوعية: | analgesia, brachial plexus blocks, dexamethasone, levobupivacaine, ultrasound, Anesthesiology, RD78.3-87.3 |
الوصف: | BackgroundThe purpose of this study was to evaluate the effect of the addition of 5 mg dexamethasone to 10 ml of 0.5% levobupivacaine on postoperative analgesic effects of ultrasound guided-interscalene brachial plexus block (ISBPB) in arthroscopic shoulder surgery under general anesthesia.MethodsIn 60 patients scheduled for arthroscopic shoulder surgery that underwent general anesthesia, ISBPB was preoperatively performed with 10 ml of 0.5% levobupivacaine under the guidance of ultrasound and a nerve stimulator. Patients were randomly allocated to receive the same volume of normal saline (Group I), 5 mg of dexamethasone (Group II), or 1 : 400,000 epinephrine (Group III) as an adjuvant to the mixture. A blind observer recorded total analgesic consumption, sleep quality, complication, and patient satisfaction using a verbal numerical rating scale (VNRS) at 0, 1, 6, 12, 24, 48 h after the operation.ResultsAll patients had successful ISBPB and excellent analgesic effects less than VNRS 4 up to discharge time. VNRS in Group II at 12 h and 48 h was statistically much lower than in Group I and III. There were no differences in total analgesic consumption, sleep quality, complications, and patient satisfaction.ConclusionsWe conclude that the addition of 5 mg of dexamethasone to 10 ml of 0.5% levobupivacaine in ISBPB showed improvement of postoperative analgesia for arthroscopic shoulder operation without any specific complications. |
نوع الوثيقة: | article |
وصف الملف: | electronic resource |
اللغة: | English |
تدمد: | 2005-6419 2005-7563 |
Relation: | http://ekja.org/upload/pdf/kjae-62-130.pdf; https://doaj.org/toc/2005-6419; https://doaj.org/toc/2005-7563 |
DOI: | 10.4097/kjae.2012.62.2.130 |
URL الوصول: | https://doaj.org/article/c7b43bef9539460fa44df5fef20e51fc |
رقم الأكسشن: | edsdoj.7b43bef9539460fa44df5fef20e51fc |
قاعدة البيانات: | Directory of Open Access Journals |
تدمد: | 20056419 20057563 |
---|---|
DOI: | 10.4097/kjae.2012.62.2.130 |