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Aim: Thoracic surgery is one of the surgical procedures that necessitates effective pain management both before and after the procedure. Because of the adverse effects of opioids in thoracic surgeries, regional anesthesia has been widely used for postoperative analgesia. One of the most recent techniques used with this indication is erector spina plane block (ESPB). Many studies in regional anesthesia have shown that adding dexamethasone to local anesthetics as an adjuvant agent prolongs the analgesic effect. The purpose of the present study was to assess the effect of dexamethasone, which is used as a perineural and intravenous adjuvant, on the duration and level of analgesia of ESPB used in thoracic surgeries.
Material and Method: This prospective, randomized controlled study included 60 patients who would have a thoracotomy under general anesthesia and ESP for peri-operative analgesia. Patients were divided into three groups: those who received perineural dexamethasone (Group PN), those who received IV dexamethasone (Group IV), and those who did not receive any dexamethasone at all (Group C-Control). Numerical rating scale (NRS) scores, rescue analgesic drug use and block times were recorded at the postoperative 2nd, 6th, 12th, 24th and 36th hours.
Results: There was no statistically significant (p>0.05) difference in blocking times or additional analgesic use between the three groups. There was no statistically significant (p>0.05) difference in the NRS scores when the patients’ pain levels were measured in all three groups. 36th hour NRS scores and additional analgesic use were higher in the group that did not receive IV or perineural dexamethasone.
Conclusion: NRS scores and rescue analgesic use were similar between ESPB groups with intravenous or perineural addition of 4 mg dexamethasone and ESPB group administered without dexamethasone. However, the NRS score average in the group C was greater than 3, particularly in the 36th hour NRS data, whereas the NRS scores in the group PN and group IV were less than 2.
Erector spina plane block perineural dexamethasone intravenous dexamethasone thoracotomy postoperative analgesia
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Birincil Dil | İngilizce |
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Konular | Sağlık Kurumları Yönetimi |
Bölüm | Research Articles |
Yazarlar | |
Proje Numarası | Yok |
Erken Görünüm Tarihi | 21 Ocak 2022 |
Yayımlanma Tarihi | 24 Ocak 2022 |
Yayımlandığı Sayı | Yıl 2022 Cilt: 4 Sayı: 1 |
Üniversitelerarası Kurul (ÜAK) Eşdeğerliği: Ulakbim TR Dizin'de olan dergilerde yayımlanan makale [10 PUAN] ve 1a, b, c hariç uluslararası indekslerde (1d) olan dergilerde yayımlanan makale [5 PUAN]
- Dahil olduğumuz İndeksler (Dizinler) ve Platformlar sayfanın en altındadır.
Not: Dergimiz WOS indeksli değildir ve bu nedenle Q olarak sınıflandırılmamaktadır.
Yüksek Öğretim Kurumu (YÖK) kriterlerine göre yağmacı/şüpheli dergiler hakkındaki kararları ile yazar aydınlatma metni ve dergi ücretlendirme politikasını tarayıcınızdan indirebilirsiniz. https://dergipark.org.tr/tr/journal/3449/page/10809/update
Dergi Dizin ve Platformları
TR Dizin ULAKBİM, Google Scholar, Crossref, Worldcat (OCLC), DRJI, EuroPub, OpenAIRE, Turkiye Citation Index, Turk Medline, ROAD, ICI World of Journal's, Index Copernicus, ASOS Index, General Impact Factor, Scilit.