Dexamethasone in anesthesia practice: A narrative review

被引:3
作者
Bansal, Teena [1 ,3 ]
Singhal, Suresh [1 ]
Taxak, Susheela [1 ]
Bajwa, Sukhminder Jit Singh [2 ]
机构
[1] Post Grad Inst Med Sci, Dept Anaesthesiol & Crit Care, Rohtak, Haryana, India
[2] Gian Sagar Med Coll & Hosp, Dept Anaesthesiol & Intens Care, Patiala, Punjab, India
[3] PGIMS, 19-6 J Med Campus, Rohtak 124001, Haryana, India
关键词
Anesthesia; dexamethasone; pain; postoperative nausea; vomiting; SHOT INTERSCALENE BLOCK; PREOPERATIVE DEXAMETHASONE; INTRAVENOUS DEXAMETHASONE; PERINEURAL DEXAMETHASONE; POSTOPERATIVE ANALGESIA; SYSTEMIC DEXAMETHASONE; PROLONG ANALGESIA; SHOULDER SURGERY; MG; ADJUVANT;
D O I
10.4103/joacp.joacp_164_22
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Dexamethasone is routinely used in anesthesia practice and has been regarded as one of the ideal perioperative agents. It is a synthetic glucocorticoid with potent antiinflammatory action. It reduces postoperative nausea and vomiting, pain, postoperative opioid requirements after general anaesthesia as well as spinal anaesthesia. It has been used via intravenous, epidural and perineural routes. It has been used successfully in fascial blocks. It significantly decreases fatigue, shivering and postoperative sore throat and improves quality of recovery.
引用
收藏
页码:3 / 8
页数:6
相关论文
共 36 条
[1]   Comparison of 4 mg dexamethasone versus 8 mg dexamethasone as an adjuvant to levobupivacaine in fascia iliaca block-a prospective study [J].
Acharya, Ranjita ;
Sriramka, Bhavna ;
Panigrahi, Sandeep .
KOREAN JOURNAL OF PAIN, 2018, 31 (04) :261-267
[2]   Practice Guidelines for Postanesthetic Care An Updated Report by the American Society of Anesthesiologists Task Force on Postanesthetic Care [J].
Apfelbaum J.L. ;
Silverstein J.H. ;
Chung F.F. ;
Connis R.T. ;
Fillmore R.B. ;
Hunt S.E. ;
Nickinovich D.G. ;
Schreiner M.S. ;
Barlow J.C. ;
Joas T.A. .
ANESTHESIOLOGY, 2013, 118 (02) :291-307
[3]   Efficacy of perineural vs systemic dexamethasone to prolong analgesia after peripheral nerve block: a systematic review and meta-analysis [J].
Baeriswyl, M. ;
Kirkham, K. R. ;
Jacot-Guillarmod, A. ;
Albrecht, E. .
BRITISH JOURNAL OF ANAESTHESIA, 2017, 119 (02) :183-191
[4]   Preoperative dexamethasone improves surgical outcome after laparoscopic cholecystectomy - A randomized double-blind placebo-controlled trial [J].
Bisgaard, T ;
Klarskov, B ;
Kehlet, H ;
Rosenberg, J .
ANNALS OF SURGERY, 2003, 238 (05) :651-660
[5]  
Chalifoux F, 2017, CAN J ANESTH, V64, P280, DOI 10.1007/s12630-016-0796-6
[6]   Dexamethasone and Surgical-Site Infection [J].
Corcoran, Tomas B. ;
Myles, Paul S. ;
Forbes, Andrew B. ;
Cheng, Allen C. ;
Bach, Leon A. ;
O'Loughlin, Edmond ;
Leslie, Kate ;
Chan, Matthew T., V ;
Story, David ;
Short, Timothy G. ;
Martin, Catherine ;
Coutts, Pauline ;
Ho, Kwok M. .
NEW ENGLAND JOURNAL OF MEDICINE, 2021, 384 (18) :1731-1741
[7]   Dose ranging study on the effect of preoperative dexamethasone on postoperative quality of recovery and opioid consumption after ambulatory gynaecological surgery [J].
De Oliveira, G. S., Jr. ;
Ahmad, S. ;
Fitzgerald, P. C. ;
Marcus, R. J. ;
Altman, C. S. ;
Panjwani, A. S. ;
McCarthy, R. J. .
BRITISH JOURNAL OF ANAESTHESIA, 2011, 107 (03) :362-371
[8]   Perioperative Single Dose Systemic Dexamethasone for Postoperative Pain A Meta-analysis of Randomized Controlled Trials [J].
De Oliveira, Gildasio S., Jr. ;
Almeida, Marcela D. ;
Benzon, Honorio T. ;
McCarthy, Robert J. .
ANESTHESIOLOGY, 2011, 115 (03) :575-588
[9]  
Deshpande Jyoti P, 2017, Anesth Essays Res, V11, P499, DOI 10.4103/aer.AER_22_17
[10]   I.V. and perineural dexamethasone are equivalent in increasing the analgesic duration of a single-shot interscalene block with ropivacaine for shoulder surgery: a prospective, randomized, placebo-controlled study [J].
Desmet, M. ;
Braems, H. ;
Reynvoet, M. ;
Plasschaert, S. ;
Van Cauwelaert, J. ;
Pottel, H. ;
Carlier, S. ;
Missant, C. ;
Van de Velde, M. .
BRITISH JOURNAL OF ANAESTHESIA, 2013, 111 (03) :445-452