Intraoperative Administration of Dexmedetomidine and Dexamethasone in Local Anesthetic Infiltration to Improve Postoperative Pain Control After Posterior Cervical Fusion.

cervical fusion dex-dex dexamethasone dexmedetomidine multimodal analgesia pain control peripheral nerve blocks postoperative pain regional anesthesia spine surgery

Journal

Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737

Informations de publication

Date de publication:
26 Apr 2021
Historique:
entrez: 31 5 2021
pubmed: 1 6 2021
medline: 1 6 2021
Statut: epublish

Résumé

Dexmedetomidine, a selective and potent α2-adrenoceptor agonist, is used for its anxiolytic, sedative, and analgesic properties. Dexamethasone is a high-potency, long-acting glucocorticoid that has been shown to provide analgesic and anti-inflammatory effects. At present, little has been published with regard to the effectiveness of these drugs as dual agents with local anesthetics for analgesia. In this report, a case of a 50-year-old man who underwent a cervical spine orthopedic procedure is described, in which an intraoperative injection of ropivacaine was administered with the adjuvants dexmedetomidine and dexamethasone, providing extended postoperative pain relief. In summary, we present a patient who had an injection of ropivacaine with dexmedetomidine and dexamethasone into the erector spinae muscles in the cervical region, which provided improvement in postoperative pain and reduced opioid consumption for five days post-surgery, demonstrating additive and/or synergistic effects beyond the normal local anesthetic duration.

Identifiants

pubmed: 34055542
doi: 10.7759/cureus.14699
pmc: PMC8153515
doi:

Types de publication

Case Reports

Langues

eng

Pagination

e14699

Informations de copyright

Copyright © 2021, Southerland et al.

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

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Auteurs

Warren A Southerland (WA)

Department of Anesthesia, Critical Care, and Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, USA.

Justin Gillis (J)

Department of Anesthesia, Critical Care, and Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, USA.

Ivan Urits (I)

Department of Anesthesia, Critical Care, and Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, USA.

Alan D Kaye (AD)

Department of Anesthesiology, Louisiana State University Shreveport, Shreveport, USA.

Jonathan Eskander (J)

Anesthesiology and Pain Medicine, Portsmouth Anesthesia Associates, Portsmouth, USA.

Classifications MeSH