Analgesic duration and latency of dexamethasone and fentanyl in supraclavicular block
Article Sidebar
Main Article Content
Abstract
Objective: To describe the duration of analgesia and onset times observed with the use of dexamethasone and fentanyl in ultrasound-guided supraclavicular block at Hospital Obrero Nº 5. Methodology: Prospective, longitudinal, and descriptive study. A sample of 55 patients (18–60 years old) undergoing upper limb surgery was analyzed, divided into two groups: Group A (dexamethasone 8 mg) and Group B (fentanyl 100 mcg). Results: In the observed cases, the dexamethasone group showed an analgesic duration of up to 15 hours, while the fentanyl group reached a maximum of 10 hours. In the dexamethasone group, 50.9% of patients experienced analgesia lasting more than 12 hours. The observed onset time was 10–15 minutes with dexamethasone and 15–20 minutes with fentanyl. Conclusions: The use of dexamethasone was associated with longer postoperative analgesia periods and shorter onset times in the studied sample.
Downloads
Article Details
This work is licensed under a Creative Commons Attribution 4.0 International License.
References
1. Alcántara Montero A, González Curado A. Nueva guía de la Asociación Americana del Dolor sobre dolor postoperatorio. Rev Soc Esp Dolor. 2016. https://doi.org/10.20986/resed.2016.3447/2016
2. Aldrete DJ. Texto de anestesiología teórico y práctica. México: El Manual Moderno; 2004.
3. Barash PG. Anestesia clínica. Philadelphia: Wolters Kluwer; 2001.
4. Guevara León XX. Bloqueos de nervio periférico como alternativa en el manejo del dolor postoperatorio en cirugías de miembro superior. Rev Fac Cien Med (Quito). 2022.
5. Hadzic A. Bloqueo de nervio periférico. New York: McGraw-Hill; 2015.
6. Miller RD. Miller’s Anesthesia. Philadelphia: Elsevier; 2021.
7. Fernández Martin MT, Álvarez López S, Aldecoa Álvarez-Santullano C. Papel de los coadyuvantes en la anestesia regional. Rev Esp Anestesiol Reanim. 2023. https://doi.org/10.1016/j.redar.2021.06.002
8. Portoles PL. Farmacología básica y clínica. Madrid: Panamericana; 2017.
9. Wasnick JD. Anestesiología clínica de Morgan y Mikhail. México: El Manual Moderno; 2014.
10. Williams BA, Butt MT. Analgesia perineural multimodal con combinación de bupivacaína- clonidina-buprenorfina-dexametasona. Pain Med. 2015.
11. Martinez V, Fletcher D. Dexametasona y bloqueos periféricos: ¿sobre el nervio o intravenoso? Rev Br J Anaesth. 2014.
12. Emelife PI, Eng MR, Menard BL, Meyers AS, Cornett EM, Urman RD, et al. Adjuvant medications for peripheral and neuraxial anesthesia. Best Pract Res Clin Anaesthesiol. 2018. https://doi.org/10.1016/j.bpa.2018.06.011
13. Abella Palacios P, Arias-Amézquita F, Barsella AR, Hernández-Porras BC, Narváez DK, Salomón-Molina PA, et al. Control inadecuado del dolor agudo postoperatorio. Rev Mex Anestesiol. 2021.
14. Bernucci Pérez MF, Merino Urrutia WA, Díaz MF, Feijoo Palacios MJ, Orellana Cáceres JJ, Balkenhol Neumann MA, et al. Dolor crónico posoperatorio: una revisión necesaria de un problema ignorado. Rev Chil Anest. 2020.
15. Bolívar M, Toro M, Seijas M. Importancia del anestesiólogo en la prevención del dolor crónico. Rev Chil Anest. 2021. https://doi.org/10.25237/revchilanestv5011081451