files/journal/2022-09-03_18-51-40-000000_599.png

Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
About US
Editors
Issues
Pages
Indexed in
134
Views
10
Downloads

Efficacy of 8 mg of Dexamethasone as an Adjuvant to 0.2% Ropivacaine in USG Guided Pre‐Emptive Caudal Epidural Block in Patients Undergoing Lumbar Spine Surgeries

A. Y. Sitara, G. Poornashree, Siva Lakshmana Teja Alapati, Swati Bisht and V. Preetham
Page: 198-202 | Received 21 Nov 2023, Published online: 30 Nov 2023

Download Citation
https://doi.org/10.36478/10.59218/makrjms.2023.12.198.202

Full Text Reference XML File PDF File

Abstract

High degree of post‐operative pain in adult patients undergoing lumbosacral spine surgeries is a significant cause of morbidity, extended length of facility stays and marked opioid usage. Since, these patients typically have pre‐existing chronic low back ache, adequate pain relief is important to help early recovery and improve functional outcome. Dexamethasone has been successfully used as an effective analgesic in a number of studies. Ropivacaine has a better safety profile compared with other local anaesthetics in terms of cardiovascular and CNS toxicity which makes it ideal drug for lumbosacral spine surgeries. The study was conducted in the Department of Anaesthesiology, Vydehi Institute of Medical Sciences and Research Centre, Bangalore from March 2020 to August 2021. The sample size taken for this study was 50 patients fulfilling the inclusion criteria, further divided into two groups of 25. Group A received 0.2% Ropivacaine and Group B received 0.2% Ropivacaine + 8mg Dexamethasone. Patient were monitored for vitals every 10 min for 1 hrs, every 15 min for next 1 hrs. Data was analysed and recorded. The mean of age group was recorded as 50.96±9.48 (years). The mean of opioid consumption was recorded as 116.00±22.36 mcg with the range between minimum 80 mcg and maximum 180 mcg, whereas in group B the mean of opioid consumption was recorded as 144.00±22.77 mcg with the range between minimum 100 mcg and maximum 200 mcg. Dexamethasone when used as an adjuvant with ropivacaine, provides effective acute pain control after surgery, decreases opioid consumption with no complications.

How to cite this article:

A. Y. Sitara, G. Poornashree, Siva Lakshmana Teja Alapati, Swati Bisht and V. Preetham. Efficacy of 8 mg of Dexamethasone as an Adjuvant to 0.2% Ropivacaine in USG Guided Pre‐Emptive Caudal Epidural Block in Patients Undergoing Lumbar Spine Surgeries.
DOI: https://doi.org/10.36478/10.59218/makrjms.2023.12.198.202
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2023.12.198.202