Open AccessImpact of dexamethasone added to intra-articular morphine and bupivacaine for postoperative analgesia after knee arthroscopy
Author(s) -
Heba F Toulan,
Raafat Hammad,
Amr Mohammed Talaat,
Ahmed Abd El-Daeem Abd El-Haq
Publication year - 2021
Publication title -
ain shams journal of anesthesiology
Language(s) - English
Resource type - Journals
eISSN - 2090-925X
pISSN - 1687-7934
DOI - 10.1186/s42077-021-00193-z
Subject(s) - medicine , bupivacaine , anesthesia , morphine , analgesic , dexamethasone , arthroscopy , adverse effect , knee arthroscopy , surgery
Background Pain relief after knee arthroscopy is very important for early recovery and rehabilitation. The study was conducted to evaluate the effects of adding dexamethasone (8 mg) to intra-articular morphine (10 mg) and bupivacaine (25 mg) combination on postoperative pain after knee arthroscopy. Results We enrolled 40 patients, 18–65 years-old of both sexes, ASA I and II scheduled for minor arthroscopic knee surgeries. The study group showed a lower visual analog score at rest and movement, prolonged postoperative analgesia, and decreased total analgesic consumption compared with the control group ( P value < 0.05). Conclusions Adding dexamethasone to intra-articular combination of morphine and bupivacaine after knee arthroscopy prolongs the duration of analgesia, lowers pain scores, and decreases total analgesic consumption with no detected adverse effects.