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

Abstract Background Pain 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 arth...

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Autores principales: Heba Fouad Toulan, Raafat Abdel-Azim Hammad, Amr Mohammed Talaat, Ahmed Abd El-Daeem Abd El-Haq
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Publicado: SpringerOpen 2021
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Acceso en línea:https://doaj.org/article/fcda80bf064b4bf58f6c1aa457b59ace
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spelling oai:doaj.org-article:fcda80bf064b4bf58f6c1aa457b59ace2021-11-28T12:06:32ZImpact of dexamethasone added to intra-articular morphine and bupivacaine for postoperative analgesia after knee arthroscopy10.1186/s42077-021-00193-z2090-925Xhttps://doaj.org/article/fcda80bf064b4bf58f6c1aa457b59ace2021-11-01T00:00:00Zhttps://doi.org/10.1186/s42077-021-00193-zhttps://doaj.org/toc/2090-925XAbstract Background Pain 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. Results We 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). Conclusions Adding 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.Heba Fouad ToulanRaafat Abdel-Azim HammadAmr Mohammed TalaatAhmed Abd El-Daeem Abd El-HaqSpringerOpenarticleDexamethasoneBupivacaineMorphineKnee arthroscopyPostoperative analgesiaAnesthesiologyRD78.3-87.3Medical emergencies. Critical care. Intensive care. First aidRC86-88.9ENAin Shams Journal of Anesthesiology, Vol 13, Iss 1, Pp 1-6 (2021)
institution DOAJ
collection DOAJ
language EN
topic Dexamethasone
Bupivacaine
Morphine
Knee arthroscopy
Postoperative analgesia
Anesthesiology
RD78.3-87.3
Medical emergencies. Critical care. Intensive care. First aid
RC86-88.9
spellingShingle Dexamethasone
Bupivacaine
Morphine
Knee arthroscopy
Postoperative analgesia
Anesthesiology
RD78.3-87.3
Medical emergencies. Critical care. Intensive care. First aid
RC86-88.9
Heba Fouad Toulan
Raafat Abdel-Azim Hammad
Amr Mohammed Talaat
Ahmed Abd El-Daeem Abd El-Haq
Impact of dexamethasone added to intra-articular morphine and bupivacaine for postoperative analgesia after knee arthroscopy
description Abstract Background Pain 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. Results We 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). Conclusions Adding 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.
format article
author Heba Fouad Toulan
Raafat Abdel-Azim Hammad
Amr Mohammed Talaat
Ahmed Abd El-Daeem Abd El-Haq
author_facet Heba Fouad Toulan
Raafat Abdel-Azim Hammad
Amr Mohammed Talaat
Ahmed Abd El-Daeem Abd El-Haq
author_sort Heba Fouad Toulan
title Impact of dexamethasone added to intra-articular morphine and bupivacaine for postoperative analgesia after knee arthroscopy
title_short Impact of dexamethasone added to intra-articular morphine and bupivacaine for postoperative analgesia after knee arthroscopy
title_full Impact of dexamethasone added to intra-articular morphine and bupivacaine for postoperative analgesia after knee arthroscopy
title_fullStr Impact of dexamethasone added to intra-articular morphine and bupivacaine for postoperative analgesia after knee arthroscopy
title_full_unstemmed Impact of dexamethasone added to intra-articular morphine and bupivacaine for postoperative analgesia after knee arthroscopy
title_sort impact of dexamethasone added to intra-articular morphine and bupivacaine for postoperative analgesia after knee arthroscopy
publisher SpringerOpen
publishDate 2021
url https://doaj.org/article/fcda80bf064b4bf58f6c1aa457b59ace
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