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Hindi Can a single dose of intravenous dexamethasone improve post caesarean delivery analgesia?
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Copyright: © 2020 . This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Abstract
Background: Single dose of intravenousdexamethasone has been shown to improve post operative analgesia in obstetric patients Our aim was to establish if a single dose of dexamethasone would improve pains cores and reduce opioid consumptionas part of multimodalanalgesic regime. Methods : Over a 6 monthperiod data wascollected for 34 patientsundergoingelective C-section. A control group received standardised CSE and intraoperativeanalgesics The intervention group received an additional single dose of intravenous 6.6mg dexamethasone (n=20). Post operatively patients received standardised analgesia and were reviewed the followingday. Primary out comes were post operative opioid consumption and subjectivepain score using VAS. Results: Patients receiving dexamethas one showed significantly lower pain scores on the first postoperative day ((median (IQR) − 2.5 (1 - 4)) compared to the control group (median (IQR) - 6 (5 - 7)), p=0.001 with no side-effects. Therewas no benefit of dexamethasone on the averagehourlyopioidconsumption ((median (IQR) − 1.125mg/hr (0 - 1.8mg/hr)) compared to the control group ((median (IQR) - 0.65mg/hr (0 - 1.25mg/hr)), p=0.516. Conclusions: IV Dexamethasoneis a safe non-opiate adjunctwhichreducedpostoperativepainscores and shouldconsideredduring C-sections.
