Dexamethasone added to levobupivacaine in ultrasound-guided tranversus abdominis plain block increased the duration of postoperative analgesia after caesarean section : a randomized, double blind, controlled trial

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dc.authorid0000-0002-1630-2033en_US
dc.contributor.authorAkkaya, Akcan
dc.contributor.authorYıldız, İsa
dc.contributor.authorTekelioğlu, Ümit Yaşar
dc.contributor.authorDemirhan, Abdullah
dc.contributor.authorBayır, Hakan
dc.contributor.authorÖzlü, Tülay
dc.contributor.authorBilgi, Murat
dc.date.accessioned2021-06-23T19:36:12Z
dc.date.available2021-06-23T19:36:12Z
dc.date.issued2014
dc.departmentBAİBÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.description.abstractOBJECTIVES: When added to local anaesthetics, dexamethasone can prolong the duration of peripheral blocks. Dexamethasone has a long and efficient glucocorticoid structure and presents anti-inflammatory properties. The aim of this study was to determine the effect of dexamethasone on the block duration added to levobupivacaine used for transversus abdominis block (TAP) applied to patients who underwent caesarean section. PATIENTS AND METHODS: Forty-two patients with spinal anaesthesia in an American Society of Anesthesiologists (ASA) I-II risk group were included in the study and divided into two groups. Bilateral 30 ml 0.25% levobupivacaine and 2 ml 0.9% NaCl for the levobupivacaine group and bilateral 30 ml 0.25% levobupivacaine and 2 ml dexamethasone (8 mg) for the dexamethasone group were administered in a TAP block performed with ultrasonography. The time need for the first analgesic in the postoperative period was recorded. The numeric evaluation scale, and the total additional analgesic amounts were recorded. RESULTS: The time before the administration of the first additional analgesic dose was prolonged significantly in the dexamethasone group compared to the levobupivacaine group (p = 0.004). The pain scores were lower in the dexamethasone group for superficial pain. A significant difference for the dexamethasone group was observed in the evaluation of deep pain. The total consumption of tramadol was significantly lower in the dexamethasone group (p = 0.001). CONCLUSIONS: The utilization of dexamethasone, which has a prolonging effect on the transversus abdominis plane block, may be an alternative to epidural opioid analgesia in caesarean section. We observed that dexamethasone added to levobupivacaine in a TAP block applied for analgesia following a caesarean section procedure prolonged the time required for analgesia.en_US
dc.identifier.endpage722en_US
dc.identifier.issn1128-3602
dc.identifier.issue5en_US
dc.identifier.pmid24668714en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage717en_US
dc.identifier.urihttps://www.europeanreview.org/article/7064
dc.identifier.urihttps://hdl.handle.net/20.500.12491/7948
dc.identifier.volume18en_US
dc.identifier.wosWOS:000341967900017en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorAkkaya, Akcan
dc.institutionauthorYıldız, İsa
dc.institutionauthorTekelioğlu, Ümit Yaşar
dc.institutionauthorDemirhan, Abdullah
dc.institutionauthorBayır, Hakan
dc.institutionauthorÖzlü, Tülay
dc.institutionauthorBilgi, Murat
dc.language.isoenen_US
dc.publisherVerduci Publisheren_US
dc.relation.ispartofEuropean Review For Medical And Pharmacological Sciencesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectTransversus Abdominis Plane Blocken_US
dc.subjectLevobupivacaineen_US
dc.subjectDexamethasoneen_US
dc.subjectCaesarean Sectionen_US
dc.titleDexamethasone added to levobupivacaine in ultrasound-guided tranversus abdominis plain block increased the duration of postoperative analgesia after caesarean section : a randomized, double blind, controlled trialen_US
dc.typeArticleen_US

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