the aim of this study was to investigate compare the effect of peroperative intravenous single dose dexamethasone and the addition of dexamethasone to femoral nerve block on postoperative analgesic consumption and patient comfort in unilateral total knee arthroplasty patients
Total knee arthroplasty leads to severe postoperative pain. for postoperative pain control after total knee arthroplasty oral -intramuscular opioids ,patient controlled analgesia intravenous or epidural opioids, single -continuous femoral nerve block involving techniques are used. Dexamethasone is a glucocorticoid of high potency and frequently used perioperative.Dexamethasone to the local anaesthetic solution administered trough in femoral nerve blocks significantly prolonged the analgesic effect of the local anaesthetics used on this blocks.If the analgesic efficacy of systemic treatment with dexamethasone is similar with the use of perineural wich is the safest way should be preferred for systemic use.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
60
2 ml 8 mg iv dexamethasone
2ml 8mg dexamethasone administration added 30 ml 0,5 % bupivacain
2 ml iv serum physiologic
Erciyes Univercity Hospital
Kayseri, Turkey (Türkiye)
RECRUITINGvisual analog scale
Time frame: postoperative 2 day
analgesic consumption
morphine consumption (patient controlled analgesia procedure)
Time frame: postoperative 2 day
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