Volume 20 No 13 (2022)
 Download PDF
Evaluation Of Dexamethasone As An Adjuvant In Post-Operative Analgesia In Laparoscopic Upper Abdominal Surgeries.
Dr Riza Mohsin Shah , Dr Saba Ahad, Dr Mohamad Ommid , Dr Priyanka Thakur , Dr Afnan Iqbal , Dr Farhana Bashir6
Abstract
Background: The treatment of post-operative pain is a major challenge for health care workers that still remain disregarded. The standard treatment for post-operative pain is the use of systemic opioid, but unfortunately, insert space the use of opioid are associated with their own side effects. Opioid sparing techniques are now used for post-operative pain management. a number of studies now show that steroids are effective in reducing pain and inflammation after surgery. Objectives: The aims of the study artist study the effects of two different doses of dexamethasone when added to the list of adjuncts for pain management in laparoscopic abdominal surgeries, and to explore any other side effects associated with dexamethasone administration. Materials and methods: In this observational study, 70 patients were enrolled to receive either a single dose of dexamethasone (0.1mg/kg). Post-operative pain was controlled by giving diclofenac injection, and repeated if necessary. Patients were compared for post-operative abdominal and shoulder pain VAS Scores measured at different time intervals. Time to rescue analysis and total rescue analgesia consumption were also observed for all patients. Results: No significant difference was seen in patients regarding demographic factors (age, gender, ASA Status, and duration of surgery) and preoperative, Intra operative and post-operative parameters of patents. Intensity of pain was and consumption of post-operative analgesia was lowered in patients receiving a higher dose of dexamethasone as compared to patients receiving a lower dose. Conclusion: The study concludes that a single dose of high dose of dexamethasone has better post-operative pain outcomes in addition to providing relief from nausea and vomiting
Keywords
Dexamethasone, laparoscopy, Post-operative pain, analgesia, General anaesthesia
Copyright
Copyright © Neuroquantology

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Articles published in the Neuroquantology are available under Creative Commons Attribution Non-Commercial No Derivatives Licence (CC BY-NC-ND 4.0). Authors retain copyright in their work and grant IJECSE right of first publication under CC BY-NC-ND 4.0. Users have the right to read, download, copy, distribute, print, search, or link to the full texts of articles in this journal, and to use them for any other lawful purpose.