medigraphic.com
SPANISH

Revista Mexicana de Anestesiología

ISSN 3061-8142 (Electronic)
ISSN 0484-7903 (Print)
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2016, Number 3

<< Back Next >>

Rev Mex Anest 2016; 39 (3)

Usefulness of dexamethasone for postoperative pain control in patients subjected to abdominal surgery

Ordaz-Díaz A, Castellanos-Olivares A, Ramírez-Celis JC, Lagarda-Cuevas J
Full text How to cite this article

Language: Spanish
References: 14
Page: 189-192
PDF size: 204.70 Kb.


Key words:

Postoperative pain, dexamethasone.

ABSTRACT

Introduction: Postoperative pain is one of the main problems encountered in the PACU with an average incidence of 60%. It is likely to contribute to inflammation acute postoperative pain. Dexamethasone administered perioperatively shown to have analgesic properties. Design: controlled clinical trial. Material and methods: 30 patients undergoing abdominal surgery being divided into 2 groups randomly administered in a dose dexamethasone group at 0.2 mg/kg and the other placebo were studied. Measurements performed: postoperative pain by visual analog scale admission to postoperative care unit and at 24 hours. Results: In group 1 postoperative pain in the PACU was 0 in 46.7%. In group 2 pain from 0 to 13.3%, with 0.013 p is present. At 24 hours in group 1 0 pain was present in 73.3%. In group 2, 53.3% had pain 0 with a p of 0.001. Conclusions: The use of dexamethasone at 0.2 mg/kg in abdominal surgery decreases postoperative pain in the PACU and 24 hours after surgery, showing statistically significant difference.


REFERENCES

  1. Ready LB, Edqards WT. Management of acute pain: a practical guide. Seattle WA: IASP Publications; 1992.

  2. Braunwald E, Fauci A, Kasper DL, Hauser SL, Longo DL, Jameson JL. Principios de medicina interna. 15a edición. México: McGraw-Hill; 2002.

  3. Morgan E, Mikhail MS, Murray MJ. Anestesiología clínica. 4a edición. México: editorial Manual Moderno; 2007.

  4. Kohl BA, Deutschman CS. The inflammatory response to surgery and trauma. Curr Opin Crit Care. 2006;12:325-332.

  5. Turan A, Sessler D. Steroids to ameloriate postoperative pain. Anesthesiology. 2011;115:457-459.

  6. Martínez-Vásquez de Castro J, Torres LM. Prevalencia del dolor postoperatorio. Alteraciones fisiopatológicas y sus repercusiones. Rev Soc Esp Dolor. 2000;7:465-476.

  7. Aguilar JL, March Y, Segarra M, Moya MM, Peláez R, Fernández S, et al. Prevalencia de dolor en un hospital con unidad de dolor agudo y unidad de dolor crónico: el paso siguiente… analgesia traslacional. Rev Soc Esp Dolor. 2009;16:209-214.

  8. De Oliveira G, Almeida D, Benzon H, McCarthy R, Pharm D. Perioperative single dose systematic dexamethasone for postoperative pain: a meta-analysis of randomized controlled trials. Anesthesiology. 2011;15:575-588.

  9. 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;238:651-660.

  10. Mathiesen O, Jacobsen L, Holm H, Randall S, Adamiec-Malmstroem L, Graungaard B, et al. Pregabalin and dexamethasone for postoperative pain control: a randomized controlled study in hip artroplasthy. Br J Anaesth. 2008;101:535-541.

  11. Hval K, Thagaard K, Schlichting E, Raeder J. The prolonged postoperative analgesic effect when dexamethasone is added to a nosteroidal antiinflamatory drug (rofecoxib) before breast surgery. Anesth Analg. 2007;105:481-486.

  12. Fuji Y, Nakayama M. Reduction of postoperative nausea and vomiting and analgesic requirement with dexamethasone in women undergoing general anesthesia for mastectomy. Breast J. 2007;13:564-567.

  13. Jokela R, Ahonen J, Tallgren M, Marjakangas P, Korttila K. The effective analgesic dose of dexamethasone after laparoscopic hysterectomy. Anesth Analg. 2009;109:607-615.

  14. Hong Y, Han S, Kim W, Kim E, Kil H. Effect of dexamethasone in combination with caudal analgesia on postoperative pain control in day – case paediatric orciopexy. Br J of Anesth. 2010;105:506-510.




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Rev Mex Anest. 2016;39