Evaluation of Analgesia Using Perineural Dexamethasone Compound in Interscalene Brachial Plexus Block After Shoulder Surgery

AuthorMahshid Ghasemien
AuthorArman Janparvaren
AuthorFaranak Behnazen
AuthorFarinaz Taherien
OrcidMahshid Ghasemi [0000-0002-7327-5561]en
OrcidFaranak Behnaz [0000-0003-2856-3975]en
OrcidFarinaz Taheri [0000-0002-5998-1638]en
Issued Date2024-02-29en
AbstractBackground: The objective of this study was to examine analgesia when using perineural dexamethasone compound in an interscalene brachial plexus block following shoulder surgery. Methods: This study was designed as a randomized, double-blind clinical trial. Patients meeting the specified criteria were randomly divided into two groups: The experimental group and the control group, each comprising 30 individuals. Age and gender were matched between the groups. The control group received lidocaine along with 2 cc of 0.5% bupivacaine (20 milligrams) and 2 cc of normal saline; however, the experimental group received lidocaine, along with 2 cc of 0.5% bupivacaine and 2 cc of dexamethasone. Pain levels were assessed using the Visual Analog Scale (VAS), and covariance analysis was applied for data analysis. Results: The results demonstrated that pain intensity was notably lower in the experimental (dexamethasone) group than in the control group at both the 12-hour group (P < 0.001) and 24-hour (P < 0.001) postoperative marks. Dexamethasone significantly reduced pain among the patients. Conclusions: In conclusion, administering dexamethasone to potential candidates for shoulder surgery could lead to prolonged analgesia for up to 24 hours after the surgery. Consequently, this medication can serve as an efficacious analgesic option for pain management in these patients.en
DOIhttps://doi.org/10.5812/aapm-142635en
KeywordShoulder Surgeryen
KeywordNon-opioid Medicationen
KeywordAnesthesiaen
KeywordSide Effectsen
PublisherBrieflandsen
TitleEvaluation of Analgesia Using Perineural Dexamethasone Compound in Interscalene Brachial Plexus Block After Shoulder Surgeryen
TypeResearch Articleen

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