Shakoor Mugheer, M., taha Enad, B., Sarhan Haider, H. (2018). Using Single Dose Systemic Dexamethasone Pre Operatively for Postoperative Pain as Part of Multimodal Analgesia in Laparoscopic Cholecystectomy. , 17(2), 183-187.
Mohammad Shakoor Mugheer; Bashar taha Enad; Hassan Sarhan Haider. "Using Single Dose Systemic Dexamethasone Pre Operatively for Postoperative Pain as Part of Multimodal Analgesia in Laparoscopic Cholecystectomy". , 17, 2, 2018, 183-187.
Shakoor Mugheer, M., taha Enad, B., Sarhan Haider, H. (2018). 'Using Single Dose Systemic Dexamethasone Pre Operatively for Postoperative Pain as Part of Multimodal Analgesia in Laparoscopic Cholecystectomy', , 17(2), pp. 183-187.
Shakoor Mugheer, M., taha Enad, B., Sarhan Haider, H. Using Single Dose Systemic Dexamethasone Pre Operatively for Postoperative Pain as Part of Multimodal Analgesia in Laparoscopic Cholecystectomy. , 2018; 17(2): 183-187.

Using Single Dose Systemic Dexamethasone Pre Operatively for Postoperative Pain as Part of Multimodal Analgesia in Laparoscopic Cholecystectomy

Iraqi Postgraduate Medical Journal
Article 1, Volume 17, Issue 2, 2018, Pages 183-187    PDF (0 K)
Authors
Mohammad Shakoor Mugheer; Bashar taha Enad; Hassan Sarhan Haider
Abstract
ABSTRACT:
BACKGROUND:
Pain after laparoscopy occurs for various reasons and a range of treatment have been suggested for the reduction in pain. There are reports that local anesthesia infiltration, removal of remaining carbon dioxide, administration of anti-inflammatory analgesia before surgery and dexamethasone are effective in post operative pain management. Recently multimodal analgesia methods, where a combination of the above methods are used, are recommended for their effectiveness.
METHOD:
Eighty patients aged 20-60 years; ASA class 1 &2;undergoing laparoscopic cholecystectomy under general anesthesia were studied and divided into two groups: Group S(n = 40) received dexamethasone 8 mg before induction ; Group N received 2ml normal saline before induction. We measure the degree of pain of both groups with VAS at 1,3,6&24 hours after surgery.
RESULTS:
VAS score of Group S were lower than that of Group N during 24 hours after laparoscopic cholecystectomy and analgesia consumption of Group S were lower than that of Group N.
CONCLUSION:
A single dose of dexamethasone (8mg) intravenously given before induction was effective in reducing postoperative pain after laparoscopic cholecystectomy with multimodal analgesia.
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Keywords
KEY WORDS; laparoscopic cholecystectomy; postoperative pain
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