Abstract
The Analgesic Efficacy of Low Dose Dexamethasone Added to Bupivacaine in Ilioinguinal and Iliohypogastric Nerves Block in Patients Undergoing Inguinal Hernia Surgery under Spinal Anesthesia
Highlights
The management of postoperative pain causes better surgical outcomes and fewer cognitive changes following surgery
We have evaluated the postoperative analgesic efficacy of adding a low dose dexamethasone to bupivacaine in ilioinguinal (II) and iliohypogastric (IH) blocks in patients undergoing inguinal herniorraphy under spinal anesthesia
A total of 50 patients were first registered in this study, out of whom 6 patients were excluded due to the following reasons: drug addiction (1 patient), a surgery time of more than 1.5 hours (1 patient), patients undergoing hernia repair with surgical mesh (2 patients), and the inadequate analgesic efficacy of spinal anesthesia during surgery (2 patients)
Summary
The management of postoperative pain causes better surgical outcomes and fewer cognitive changes following surgery. It reduces the risk of chronic pain and improves the quality of life. Postoperative pain management after abdominal surgical procedure (inguinal herniorrhaphy) is usually based on conventional agents consisting of maximal doses of paracetamol non-steroidal anti-inflammatory drugs, and oral or intravenous opioid. This is associated with such side effects as nausea, drowsiness and hemodynamic disturbance, and reduced lung capacity. We have evaluated the postoperative analgesic efficacy of adding a low dose dexamethasone to bupivacaine in ilioinguinal (II) and iliohypogastric (IH) blocks in patients undergoing inguinal herniorraphy under spinal anesthesia
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