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The Combination of IV and Perineural Dexamethasone Prolongs the Analgesic Duration of Intercostal Nerve Blocks Compared with IV Dexamethasone Alone
Author(s) -
Dermot P. Maher,
Derek Serna–Gallegos,
Rodney Mardirosian,
Otto J Thomas,
Xiao Zhang,
Robert J. McKenna,
Roya Yumul,
Vida Zhang
Publication year - 2016
Publication title -
pain medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.893
H-Index - 97
eISSN - 1526-4637
pISSN - 1526-2375
DOI - 10.1093/pm/pnw149
Subject(s) - dexamethasone , medicine , anesthesia , intercostal nerves , analgesic , nerve block
The use of multiple-level, single-injection intercostal nerve blocks for pain control following video-assisted thorascopic surgery (VATS) is limited by the analgesic duration of local anesthetics. This study examines whether the combination of perineural and intravenous (IV) dexamethasone will prolong the duration of intraoperatively placed intercostal nerve blocks following VATS compared with IV dexamethasone and a perineural saline placebo.

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