Ultrasound-guided single injection transversus abdominis plane block of isobaric bupivacaine with or without dexamethasone for bariatric patients undergoing laparoscopic vertical banded gastroplasty : a comparative study of different doses
المؤلفون المشاركون
al-Sharnoubi, Nuha M.
al-Jundi, Hanan A. A.
المصدر
Ain Shams Journal of Anesthesiology
العدد
المجلد 8، العدد 2 (30 يونيو/حزيران 2015)، ص ص. 194-199، 6ص.
الناشر
جامعة عين شمس كلية الطب قسم التخدير
تاريخ النشر
2015-06-30
دولة النشر
مصر
عدد الصفحات
6
التخصصات الرئيسية
الموضوعات
الملخص EN
Dexamethasone has anti-infl ammatory properties that can prolong postoperative analgesia when added to isobaric bupivacaine transversus abdominis plane ( TAP) block for bariatric patients undergoing laparoscopic vertical banded gastroplasty.
Patients and methods A total of 111 bariatric patients, scheduled for laparoscopic vertical banded gastroplasty under ultrasound-guided TAP block, were randomized blindly into three parallel groups: Group BC that received TAP block using 20 ml of isobaric bupivacaine hydrochloride 0.25%+2 ml saline 0.9%; low-dose dexamethasone group (Group DB4) that received TAP block using 20 ml of isobaric bupivacaine hydrochloride 0.25%+4 mg dexamethasone; and high-dose dexamethasone group (Group DB8) that received TAP block using 20 ml of isobaric bupivacaine hydrochloride 0.25%+8 mg dexamethasone.
Results Postoperatively, pain scores were signifi cantly lower in Group BD4 and Group BD8 compared with Group BC at rest and on movement at 6, 8, 12, and 24 h.
There was a signifi cant difference with respect to the duration of analgesia (P = 0.0001), 24 h consumption of paracetamol (P = 0.0001), 24 h consumption of meperidine hydrochloride (P = 0.001), the number of patients who needed meperidine hydrochloride rescue analgesic (P = 0.008), time to ambulation (P = 0.0001), and incidence of postoperative nausea and/or vomiting (P = 0.03) among groups.
Conclusion Adding dexamethasone (4 or 8 mg) to isobaric bupivacaine TAP block reduces postoperative pain, reduces analgesic requirement, and promotes early ambulation in bariatric patients undergoing laparoscopic vertical banded gastroplasty in comparison with isobaric bupivacaine TAP block alone.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
al-Sharnoubi, Nuha M.& al-Jundi, Hanan A. A.. 2015. Ultrasound-guided single injection transversus abdominis plane block of isobaric bupivacaine with or without dexamethasone for bariatric patients undergoing laparoscopic vertical banded gastroplasty : a comparative study of different doses. Ain Shams Journal of Anesthesiology،Vol. 8, no. 2, pp.194-199.
https://search.emarefa.net/detail/BIM-650075
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
al-Sharnoubi, Nuha M.& al-Jundi, Hanan A. A.. Ultrasound-guided single injection transversus abdominis plane block of isobaric bupivacaine with or without dexamethasone for bariatric patients undergoing laparoscopic vertical banded gastroplasty : a comparative study of different doses. Ain Shams Journal of Anesthesiology Vol. 8, no. 2 (Apr. / Jun. 2015), pp.194-199.
https://search.emarefa.net/detail/BIM-650075
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
al-Sharnoubi, Nuha M.& al-Jundi, Hanan A. A.. Ultrasound-guided single injection transversus abdominis plane block of isobaric bupivacaine with or without dexamethasone for bariatric patients undergoing laparoscopic vertical banded gastroplasty : a comparative study of different doses. Ain Shams Journal of Anesthesiology. 2015. Vol. 8, no. 2, pp.194-199.
https://search.emarefa.net/detail/BIM-650075
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references : p. 199
رقم السجل
BIM-650075
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر