Abstract
ABSTRACT: BACKGROUND: Pain after laparoscopy occurs for various reasons and a range of treatment have been suggested for the reduction in pain. There are reports that local anesthesia infiltration, removal of remaining carbon dioxide, administration of anti-inflammatory analgesia before surgery and dexamethasone are effective in post operative pain management. Recently multimodal analgesia methods, where a combination of the above methods are used, are recommended for their effectiveness. METHOD: Eighty patients aged 20-60 years; ASA class 1 &2;undergoing laparoscopic cholecystectomy under general anesthesia were studied and divided into two groups: Group S(n = 40) received dexamethasone 8 mg before induction ; Group N received 2ml normal saline before induction. We measure the degree of pain of both groups with VAS at 1,3,6&24 hours after surgery. RESULTS: VAS score of Group S were lower than that of Group N during 24 hours after laparoscopic cholecystectomy and analgesia consumption of Group S were lower than that of Group N. CONCLUSION: A single dose of dexamethasone (8mg) intravenously given before induction was effective in reducing postoperative pain after laparoscopic cholecystectomy with multimodal analgesia. .
Recommended Citation
Mugheer, Mohammad Shakoor; Enad, Bashar taha; and Haider, Hassan Sarhan
(2018)
"Using Single Dose Systemic Dexamethasone Pre Operatively for Postoperative Pain as Part of Multimodal Analgesia in Laparoscopic Cholecystectomy,"
Iraqi Postgraduate Medical Journal: Vol. 17:
Iss.
2, Article 12.
Available at:
https://www.ipmj.org/journal/vol17/iss2/12