scholarly journals RANDOMIZED EVALUATION OF THE INFLUENCE OF INTRAVENOUS USE OF DEXAMETHASON ON POSTOPERATIVE ANALGESIA IN PATIENTS AFTER ARTHROSCOPIC OPERATIONS ON THE KNEE JOINT UNDER THE CONDITIONS OF THE PERIPHERAL REGIONARY BLOCKADE

2018 ◽  
Vol 12 (3) ◽  
pp. 155-159
Author(s):  
R. E Lakhin ◽  
K. A Tsygankov ◽  
F. V Doguzov ◽  
I. A Gemua ◽  
V. G Tsvetkov ◽  
...  

Aim: to evaluate the effects of intravenous dexamethasone on postoperative analgesia in patients after arthroscopic knee joint surgery in conditions of peripheral regional blockade. Material and methods: 60 patients were included in the study, divided into 2 groups. In the first group, patients underwent peripheral regional blockade of the femoral and sciatic nerves with a 0.5% solution of levobupivacaine. In the second, the traditional peripheral regional blockade was supplemented by intravenous administration of 8 mg (0.4% - 2 ml) of dexamethasone immediately after catarrhization of the peripheral vein. Results: The duration of the sensory blockade in the group using dexamethasone was 25% greater than in the first group. In the postoperative period, patients who were intraoperatively injected with dexamethasone required 33% less additional anesthesia. The duration of motor blockade in the group with dexamethasone was 26.5% higher than in the patients of the first group. Conclusion: intravenous dexamethasone injection with levobupivacaine peripheral regional anesthesia with arthroscopic knee joint surgery, increases the duration of the sensory block and the duration of postoperative analgesia. The use of dexamethasone led to a decrease in the need for additional anesthesia in the early postoperative period.

2007 ◽  
Vol 19 (8) ◽  
pp. 576-582 ◽  
Author(s):  
Maria E. Gómez-Vázquez ◽  
Eduardo Hernández-Salazar ◽  
Abel Hernández-Jiménez ◽  
Arturo Pérez-Sánchez ◽  
Vilma A. Zepeda-López ◽  
...  

1955 ◽  
Vol 37 (4) ◽  
pp. 855-858 ◽  
Author(s):  
Robert W. Augustine ◽  
Wm. R. MacAusland ◽  
Willard F. Greenwald

Pain ◽  
1999 ◽  
Vol 80 (1) ◽  
pp. 229-238 ◽  
Author(s):  
Anders Söderlund ◽  
Lars O. Boreus ◽  
Lars Westman ◽  
Björn Engström ◽  
Anders Valentin ◽  
...  

The Lancet ◽  
1945 ◽  
Vol 246 (6383) ◽  
pp. 862
Author(s):  
G.R. Girdlestone

Acute Pain ◽  
2008 ◽  
Vol 10 (1) ◽  
pp. 49
Author(s):  
M.E. Gomez-Vazquez ◽  
E. Hernandez-Salazar ◽  
A. Hernandez-Jimenez ◽  
A. Perez-Sanchez ◽  
V.A. Zepeda-Lopez ◽  
...  

2017 ◽  
Vol 8 (5) ◽  
pp. 83-90
Author(s):  
Julia A. Manokhina

The article presents an analysis of the publications devoted to the problems of anesthesia to surgical procedures at the malformations of the upper extremity in children. The article reviews the questions of epidemiology, classification of upper extremity malformation, safety of anesthesia and the role of regional blockades in the structure of intraoperative and postoperative analgesia to surgical procedures at the malformations of the upper extremity in children. Children are more likely than adults to experience stress in the operating room and early postoperative period. Children are almost impossible to prepare psychologically for the upcoming anesthesia, surgical intervention, a sense of pain after it. Surgical correction of malformations of the upper limbs in children is characterized by multistage and high traumatism, which requires the search for adequate methods of anesthesia, capable of ensuring not only the absence of pain, but also the negative impact on the nervous system of little patients. The key to the application of regional anesthesia in young children is the need for sedation or general anesthesia. The use of ultrasound navigation and electrostimulation of peripheral nerves significantly increases the level of safety and success of their realization. At present, the questions about the duration of postoperative analgesia with the use of peripheral nerve blocks and the need for additional anesthesia in the early postoperative period have been little studied. The influence of the applied anesthesia technique on the state of young children in the postoperative period are requires further investigation.


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