DR Bhavna sriramka
Ims And Sum Hospital, Bhubaneswar,Orissa,India
Posters & Accepted Abstracts: J Univer Surg
To compare the effects of adding two different doses of dexamethasone on the duration and quality of the fascia iliaca block in patients undergoing proximal femoral fracture surgery.
Methodology: A total of 60 patients (age 18-70 years) undergoing proximal femoral nailing surgery in spinal anesthesia were given fascia iliaca block after random assignment to one of the two groups: Group H- received injection levobupivacaine (0.5%) 28 ml plus 2 ml (8 mg) dexamethasone & Group L received injection levobupivacaine (0.5%) 28 ml plus dexamethasone 1ml (4 mg) plus 1 ml normal saline. Assessment of duration of analgesia and total tramadol requirement over 48 hours were noted after a successful block.
RESULTS: The duration of analgesia was found to be significantly longer in Group H (17.02 ± 0.45 hr) than the Group L patients (14.29 ± 0.45 hr) with a p-value of 0.000. Postoperative analgesic requirement (amount of tramadol in mg) was significantly higher in Group L (Q2: 200.0; IQR: 100.0, 200.0) as compared to Group H (Q2: 100.0; IQR: 100.0, 200.0) with a p-value of 0.034. No patient showed any sign of neurotoxicity.
CONCLUSION: Dexamethasone in a dose of 8mg is superior to 4mg when used as an adjuvant with levobupivacaine in FIB. Though both prolonged analgesia and effective reduction of oral/ intravenous analgesics, 8mg dexamethasone can be recommended as a more efficacious adjuvant to local anesthetics in FIB.
E-mail:
Bhavna.sriramka@gmail.com
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