title: Analgesic Effect of Dexamethasone after Arthroscopic Knee Surgery: A Randomized Controlled Trial.
abstract: Background.Dexamethasone is sometimes used as a coanalgesic because of its anti-inflammatory properties.Objective. To evaluate opioid use, postoperative pain intensity, and side effects after a single dose of dexamethasone in patients undergoing arthroscopic knee surgery.Methods. In this randomized controlled study patients were randomized to receive either 10 mg of intravenous dexamethasone (DM group) or 0.9% normal saline (NS group) during the intraoperative period. Primary outcomes were pain intensity and total morphine and codeine use after surgery.Results. Seventy-eight patients were included in the study. The DM group showed statistically significant higher pain intensity at the fourth postoperative hour (DM: 3.96/10, standard deviation [SD] 0.54; NS: 2.46/10, SD 0.45;p= 0.036). No statistically significant difference in total opioid use (morphine plus codeine) was identified with 15.9 (SD 1.97) codeine tablets used in DM group and 20 (SD 2.14) in NS group (p= 0.25).Discussion. Pain intensity tended to decrease in both groups suggesting morphine as the main source of analgesia.Conclusions. Intravenous dexamethasone during the intraoperative period has no clinical impact on postoperative pain intensity during the first 48 h after arthroscopic knee surgery. This trial is registered with R000020892.
authors: Department of Anesthesiology, Hospital Fundación Santa Fe de Bogotá, Carrera 7 No. 117-15, Bogotá, Colombia.
authors: Jairo
authors: 0000-0002-4534-4136
authors: J
authors: Moyano
authors: Department of Anesthesiology, Hospital Fundación Santa Fe de Bogotá, Carrera 7 No. 117-15, Bogotá, Colombia.
authors: Maria
authors: M
authors: García
authors: Department of Anesthesiology, Hospital Fundación Santa Fe de Bogotá, Carrera 7 No. 117-15, Bogotá, Colombia.
authors: Maria
authors: M
authors: Caicedo
mesh_terms: D000328:Adult; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use*; D001182:Arthroscopy / Q000009:adverse effects*; D003061:Codeine / Q000627:therapeutic use; D003907:Dexamethasone / Q000627:therapeutic use*; D004333:Drug Administration Routes; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009020:Morphine / Q000627:therapeutic use; D009294:Narcotics / Q000627:therapeutic use; D010147:Pain Measurement; D010149:Postoperative Pain / Q000188:drug therapy*; D016896:Treatment Outcome
chemical_list: D000893:Anti-Inflammatory Agents; D009294:Narcotics; D009020:Morphine; D003907:Dexamethasone; D003061:Codeine