What is it about?
We conclude that adding dexamethasone with isobaric bupivacaine caudal anesthesia prolongs the duration of postoperative analgesia and decreased postoperative analgesic requirement in geriatric patients undergoing total hip replacement surgery in comparison to isobaric bupivacaine alone.
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Why is it important?
In our study adding 8 mg dexamethasone to bupivacaine caudal epidural block was safe in geriatric patient as no patient reported hyperglycemia or uncontrolled hypertension during the study period. In accordance with our study previous studies reported the safety of a single dose and short term (<24 h) use of dexamethasone
Perspectives
The current study has potential limitations, though placebo-controlled lacked an active control for systemic steroid effect. Thus, further studies are warranted comparing the effect of IV vs caudal dexamethasone in geriatric patients undergoing total hip replacement surgery. Also this study investigated only a single dose of caudal dexamethasone, and a study comparing different doses of dexamethasone is also warranted.
Dr Hanaa Abd Allah El Gendy
Ain Shams University
Read the Original
This page is a summary of: Ultrasound guided single injection caudal epidural anesthesia of isobaric bupivacaine with/without dexamethasone for geriatric patients undergoing total hip replacement surgery, Egyptian Journal of Anaesthesia, July 2014, Elsevier,
DOI: 10.1016/j.egja.2014.01.004.
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