Epidural dexamethasone reduces postoperative pain and analgesic requirements

Canadian Journal of Anesthesia

Volumn 53, Issue 9, 2006, Pages 899-905

  Thomas, Siji ^a   Beevi, Suhara ^a  

^a AMALA INSTITUTE OF MEDICAL SCIENCES   (India)

Author keywords

[No Author keywords available]

Indexed keywords

BUPIVACAINE; DECDAN; DEXAMETHASONE; FENTANYL; MORPHINE; PROPOFOL; SODIUM CHLORIDE;

ADULT; ANALGESIA; ANESTHESIA INDUCTION; ARTICLE; ARTIFICIAL VENTILATION; CHOLECYSTECTOMY; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DOUBLE BLIND PROCEDURE; DRUG DOSE REGIMEN; DRUG EFFICACY; DRUG INDUCED HEADACHE; FEMALE; HUMAN; MAJOR CLINICAL STUDY; MALE; NAUSEA AND VOMITING; OPERATION DURATION; PAIN ASSESSMENT; POSTOPERATIVE CARE; POSTOPERATIVE PAIN; PREMEDICATION; PREOPERATIVE TREATMENT; PRIORITY JOURNAL; PRURITUS; RANDOMIZED CONTROLLED TRIAL; RESPIRATION DEPRESSION; SKIN IRRITATION; VISUAL ANALOG SCALE;

EID: 33750721007     PISSN: 0832610X     EISSN: None     Source Type: Journal    
DOI: 10.1007/BF03022833     Document Type: Article

References (29)

1. Udwadia TE, Patil SU, Udwadia RT, Bhandarkar DS. Laparoscopic cholecystectomy in India. Int Surg 1992; 77: 149-53.
2. Bisqaard T, Klarskov B, Kristiansen VB, et al. Multi-regional local anesthetic infiltration during laparoscopic cholecystectomy in patients receiving prophylactic multi-model analgesia: a randomized, double blinded, placebo-controlled study. Anesth Analg 1999; 89: 1017-24.
3. Wills VL, Hunt DR. Pain after laparoscopic cholecystectomy. Br J Surg 2000; 87: 273-84.
4. Fujii Y, Toyooka H, Tanaka H. Efficacy of thoracic epidural analgesia following laparoscopic cholecystectomy. Eur J Anaesthesiol 1998; 15: 342-4.
5. Baxendale BR, Vater M, Lavery KM. Dexamethasone reduces pain and swelling following extraction of third molar teeth. Anaesthesia 1993; 48: 961-4.
6. Schmelzeisen R, Frolich JC. Prevention of postoperative swelling and pain by dexamethasone after operative removal of impacted third molar teeth. Eur J Clin Pharmacol 1993; 44: 275-7.
7. Elhakim M, Ali NM, Rashed I, Riad MK, Refat M. Dexamethasone reduces postoperative vomiting and pain after pediatric tonsillectomy. Can J Anesth 2003; 50: 392-7.
8. Bisgaard T, Klarskov B, Kehlet H, Rosenberg J. Preoperative dexamethasone improves surgical outcome after laparoscopic cholecystectomy. A randomized double-blind placebo-controlled trial. Ann Surg 2003; 238: 651-60.
9. Wang YL, Tan PP, Yang CH, Tsai SC, Chung HS. Epidural dexamethasone reduces the incidence of back-ache after lumbar epidural anesthesia. Anesth Analg 1997; 84: 376-8.
10. Price C, Arden N, Coglan L, Rogers P. Cost-effectiveness and safety of epidural steroids in the management of sciatica. Health Technol Assess 2005; 9: 1-74.
11. Johansson A, Dahlin L, Kerns JM. Long-term local corticosteroid application does not influence nerve transmission or structure. Acta Anaesthesiol Scand 1995; 39: 364-9.
12. Brown FW. Management of diskogenic pain using epidural and intrathecal steroids. Clin Orthop Relat Res 1977; 129: 72-8.
13. Sehgal AD, Tweed DC, Gardner WJ, Foote MK. Laboratory studies after intrathecal corticosteroids: determination of corticosteroids in plasma and cerebrospinal fluid. Arch Neurol 1963; 9: 64-8.
14. Abram SE, Marsala M, Yaksh YL. Analgesic and neurotoxic effects of intrathecal corticosteroids in rats. Anesthesiology 1994; 81: 1198-205.
15. 2 in a model of acute arthritis is accompanied by an up-regulation of cyclo-oxygenase-2 in the spinal cord. Neuroscience 1999; 93: 775-81.
16. Lubenow TR, Ivankovich AD, McCarthy RJ. Management of acute postoperative pain. In: Barash PG, Cullen BF, Stoelting RK (Eds). Clinical Anesthesia, 4th ed. Philadelphia: Lippincott Williams & Wilkins Inc; 2001: 1403-34.
17. Maillefert JF, Aho S, Huguenin MC, et al. Systemic effects of epidural dexamethasone injections. Rev Rhum Eng Ed 1995; 62: 429-32.
18. Kroin JS, Schaefer RB, Penn RD. Chronic intrathecal administration of dexamethasone sodium phosphate: pharmacokinetics and neurotoxicity in an animal model. Neurosurgery 2000; 46: 178-82.
19. Eisenach JC, Hood DD, Curry R. Phase I human safety assessment of intrathecal neostigmine containing methyl- and propylparabens. Anesth Analg 1997; 85: 842-6.
20. Gurun MS, Leinbach R, Moore L, Lee CS, Owen MD, Eisenach JC. Studies on the safety of glucose and paraben-containing neostigmine for intrathecal adminstration. Anesth Analg 1997; 85: 317-23.
21. Glasser RS, Knego RS, Delashaw JB, Fessler RG. The perioperative use of corticosteroids and bupivacaine in the management of lumbar disc disease. J Neurosurg 1993; 78: 383-7.
22. Mirzai H, Tekin I, Alincak H. Perioperative use of corticosteroid and bupivacaine combination in lumbar disc surgery. A randomized controlled trial. Spine 2002; 27: 343-6.
23. Blanloeil Y, Bizouarn P, Le Teurnier Y, et al. Postoperative analgesia by epidural methylprednisolone after posterolateral thoracotomy. Br J Anaesth 2001; 87: 635-8.
24. Schwartz JJ, Rosenbaum SH, Graf GJ. Anesthesia and the endocrine system. In: Barash PG, Cullen BF, Stoelting RK (Eds). Clinical Anesthesia, 4th ed. Philadelphia: Lippincott Williams & Wilkins Inc; 2001: 1119-39.
25. Lee Y, Lin YS, Chen YH. The effect of dexamethasone upon patient- controlled analgesia- related nausea and vomiting. Anaesthesia 2002; 57: 705-9.
26. Rajeeva V, Bhardwaj N, Batra YK, Dhaliwal LK. Comparison of ondansetron with ondansetron and dexamethasone in prevention of PONV in diagnostic laparoscopy. Can J Anesth 1999; 46: 40-4.
27. Agarwal A, Bose N, Gaur A, Singh U, Gupta MK, Singh D. Acupressure and ondansetron for postoperative nausea and vomiting after laparoscopic cholecystectomy. Can J Anesth 2002; 49: 554-60.
28. Wu CL, Naqibuddin M, Rowlingson AJ, Lietman SA, Jermyn RM, Fleisher LA. The effect of pain on health-related quality of life in the immediate postoperative period. Anesth Analg 2003; 97: 1078-85.
29. 2 activity. J Biol Chem 1999; 274: 17202-8.