Epidural dexamethasone and ropivacaine for postoperative analgesia in patients of carcinoma rectum undergoing lower anterior resection (LAR)

  • Irshad Ahmad Sheikh Department of Anesthesiology & Critical Care SKIMS
  • Hameed Gowhar Department of Anaesthesiology & Critical Care SKIMS
  • Gani Tanveera Director Health Services, J&K
  • Tantry Gani Tariq Department of Anaesthesiology & Critical Care SKIMS
  • Mohammad Bhat Wasim Department of Anaesthesiology, SKIMS Medical College Bemina
  • Hussain Mir Aabid Department of Anaesthesiology & Critical Care SKIMS
Keywords: Dexamethasone, Epidural, Ropivacaine

Abstract

Background and Aims: This prospective, randomized, double blind study was undertaken to establish the effect of addition of dexamethasone as an adjunct to epidural ropivacaine in patients of carcinoma rectum undergoing lower anteriorresection.

Materials and Methods: Sixty ASA (American Society of Anesthesiologists) class I and II patients undergoing lower anterior resection were enrolled to receive either 6mg or 8mg or 10mg of dexamethasone along with epidural ropivacaine to a total of 10ml test solution in each group for epidural analgesia. Hemodynamic parameters, postoperative analgesia, total requirement of rescue analgesia and adverse events were monitored.

Results: Analgesia in the postoperative period was better in Group receiving 10mg of dexamethasone associated with less postoperative rescue analgesic consumption

Conclusion: Hence, addition of dexamethasone 10mg to epidural ropivacaine can be advantageous with respect to better postoperative analgesia.

Author Biographies

Irshad Ahmad Sheikh, Department of Anesthesiology & Critical Care SKIMS

M.D., Additional Professor

Hameed Gowhar, Department of Anaesthesiology & Critical Care SKIMS

M.D., Senior Resident

Gani Tanveera, Director Health Services, J&K

D.A., Medical Officer

Tantry Gani Tariq, Department of Anaesthesiology & Critical Care SKIMS

M.D., Senior Resident

Mohammad Bhat Wasim, Department of Anaesthesiology, SKIMS Medical College Bemina

M.D., Lecturer

Hussain Mir Aabid, Department of Anaesthesiology & Critical Care SKIMS

M.D., Senior Resident

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Published
2019-03-29
How to Cite
1.
Sheikh IA, Gowhar H, Tanveera G, Tariq TG, Wasim MB, Aabid HM. Epidural dexamethasone and ropivacaine for postoperative analgesia in patients of carcinoma rectum undergoing lower anterior resection (LAR). jms [Internet]. 2019Mar.29 [cited 2019Apr.22];22(1). Available from: http://jmsskims.org/index.php/jms/article/view/379
Section
Original Articles