Efficacy of Local Anesthetic Wound Infiltration in Temporomandibular Joint Ankylosis Surgery for Control of Postoperative Pain: A Prospective, Randomized Controlled, and Double-Blinded Trial

Rao, Tangirala Nageswara; Goswami, Devalina; Roychoudhury, Ajoy; Bhutia, Ongkila; Baidya, Dalim Kumar; Trikha, Anjan

doi:10.1016/j.joms.2020.10.034

Cited by 2 publications

(2 citation statements)

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“…In contrast, the study carried by Rao et al, in 45 patients undergoing temporomandibular joint ankyloses surgery showed that 24 h pain control provided by ropivacaine wound infiltration was comparable to ropivacaine mixed with dexamethasone 0.1 mg/kg [16]. However, the sample size in the latter study was relatively small and the dose of dexamethasone was less than that used in the present study.…”

Section: Discussioncontrasting

confidence: 82%

Dexamethasone and ketamine as adjuvants to bupivacaine for incisional infiltration in pediatric abdominal operations

2024

Rev. chil. anest.

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Section: Discussioncontrasting

confidence: 82%

Dexamethasone and ketamine as adjuvants to bupivacaine for incisional infiltration in pediatric abdominal operations

2024

Rev. chil. anest.

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“…47 The results showed that patients in the RD-group had significantly lower resting VAS scores at 6 and 12 hours after surgery, and lower VAS scores during follow up to 24 hours after surgery. However, results from Rao et al's study, 48 in 2020, which aimed to evaluate the analgesic effect of incision-site infiltration with ropivacaine alone or with adjuvants clonidine or dexamethasone for postoperative pain temporomandibular joint ankylosis surgery, did not show any significant difference in VAS scores at rest and during movement between the three groups.…”

Section: Discussionmentioning

confidence: 95%

Dexamethasone as Adjuvant to Ropivacaine in Wound Infiltration for Postoperative Analgesia Following Spinal Surgery: A Randomized, Double-Blinded, Controlled Trial

Mili,

Soyeh,

Ben nsir

et al. 2023

Pan Arab Journal of Neurosurgery

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Orignial ArticleBACKGROUND: Pain following spinal surgery can limit early mobility and increase the risk of chronic pain. Intraoperative wound infiltration by local anesthetics for postoperative analgesia has been widely performed.OBJETIVE: This study aims to assess the analgesic effects of dexamethasone as an adjuvant to ropivacaine in wound infiltration after lumbar surgery. PATIENTS AND METHODS:In this study, we randomly assigned sixty patients undergoing lumbar laminectomy and/ or osteosynthesis into two groups of 30 patients each. The control group (r-group) received only Ropivacaine in the wound infiltration, while the intervention group (RD-group) received ropivacaine with the addition of dexamethasone .Both groups were administered patient-controlled analgesia (PCA) with morphine for self-medication. RESULTS:Postoperatively, a blinded evaluator assessed pain at hour 0 (H0), recorded the assessment of surgical wound pain using the visual analog scale (VAS) at 4, 6, 12, 24, and 48 hours, as well as the time to the first opioid request, cumulative morphine consumption, opioid-related side effects, and length of stay. The RD-group had significantly lower VAS scores for postoperative pain within 24 hours compared to the R-group (P<0.005). However, no significant difference was observed between the two groups for pain reported at 48 hours. The RD-group exhibited significantly lower opioid requirements within the first 48 hours (P<0.001) and a significantly longer time to first analgesic demand of PCA compared to the control group (P<0.05). CONCLUSION:Our study suggests that the addition of dexamethasone to ropivacaine in wound infiltration for patients undergoing lumbar laminectomy and/or osteosynthesis can lead to a reduction in morphine consumption, improved analgesia, and a shorter length of hospitalization.

show abstract

Efficacy of Local Anesthetic Wound Infiltration in Temporomandibular Joint Ankylosis Surgery for Control of Postoperative Pain: A Prospective, Randomized Controlled, and Double-Blinded Trial

Cited by 2 publications

References 30 publications

Dexamethasone and ketamine as adjuvants to bupivacaine for incisional infiltration in pediatric abdominal operations

Dexamethasone and ketamine as adjuvants to bupivacaine for incisional infiltration in pediatric abdominal operations

Dexamethasone as Adjuvant to Ropivacaine in Wound Infiltration for Postoperative Analgesia Following Spinal Surgery: A Randomized, Double-Blinded, Controlled Trial

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