Impact of dexamethasone added to intra-articular morphine and bupivacaine for postoperative analgesia after knee arthroscopy

Ain-Shams Journal of Anesthesiology

Amr Mohammed Talaat¹  Raafat Abdel-Azim Hammad²  Heba Fouad Toulan²  Ahmed Abd El-Daeem Abd El-Haq² 

[1] Department of Anesthesiology, Hosaynia Hospital, Ministry of Health, Cairo, Egypt;Department of Anesthesiology, Intensive Care, and Pain Management, Faculty of Medicine, Ain Shams University, Cairo, Egypt;

关键词: Dexamethasone;    Bupivacaine;    Morphine;    Knee arthroscopy;    Postoperative analgesia;   

DOI  :  10.1186/s42077-021-00193-z

来源: Springer

【 摘 要 】

BackgroundPain relief after knee arthroscopy is very important for early recovery and rehabilitation. The study was conducted to evaluate the effects of adding dexamethasone (8 mg) to intra-articular morphine (10 mg) and bupivacaine (25 mg) combination on postoperative pain after knee arthroscopy.ResultsWe enrolled 40 patients, 18–65 years-old of both sexes, ASA I and II scheduled for minor arthroscopic knee surgeries. The study group showed a lower visual analog score at rest and movement, prolonged postoperative analgesia, and decreased total analgesic consumption compared with the control group (P value < 0.05).ConclusionsAdding dexamethasone to intra-articular combination of morphine and bupivacaine after knee arthroscopy prolongs the duration of analgesia, lowers pain scores, and decreases total analgesic consumption with no detected adverse effects.

【 授权许可】

CC BY