Postoperative Pain
Conditions
Keywords
dexamethasone, femoral block, total knee arthroplasty
Brief summary
the aim of this study was to investigate compare the effect of peroperative intravenous single dose dexamethasone and the addition of dexamethasone to femoral nerve block on postoperative analgesic consumption and patient comfort in unilateral total knee arthroplasty patients
Detailed description
Total knee arthroplasty leads to severe postoperative pain. for postoperative pain control after total knee arthroplasty oral -intramuscular opioids ,patient controlled analgesia intravenous or epidural opioids, single -continuous femoral nerve block involving techniques are used. Dexamethasone is a glucocorticoid of high potency and frequently used perioperative.Dexamethasone to the local anaesthetic solution administered trough in femoral nerve blocks significantly prolonged the analgesic effect of the local anaesthetics used on this blocks.If the analgesic efficacy of systemic treatment with dexamethasone is similar with the use of perineural wich is the safest way should be preferred for systemic use.
Interventions
2 ml 8 mg iv dexamethasone
2ml 8mg dexamethasone administration added 30 ml 0,5 % bupivacain
2 ml iv serum physiologic
Sponsors
Study design
Eligibility
Inclusion criteria
* between 18-65 age * knee arthroplasty * no known allergies to drugs * ASA 1-2 patients
Exclusion criteria
* history of diabetes * history of chronic pain treatment * pregnancy * severe bronchopulmonary disease * systemic opioid and steroid use
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| visual analog scale | postoperative 2 day |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| analgesic consumption | postoperative 2 day | morphine consumption (patient controlled analgesia procedure) |
Countries
Turkey (Türkiye)