Optimal Dexamethasone Dosing for Pain, Opioid Use, and Safety After Total Knee Arthroplasty
Optimal Dexamethasone Dosing for Pain, Opioid Use, and Safety After Total Knee Arthroplasty
The James A. Rand Young Investigator's Award: What Is the Safest and Most Effective Dose of Intravenous Dexamethasone in Total Knee Arthroplasty? A Multicenter Randomized Controlled Trial.
J Arthroplasty . 2025 Sep;40(9S1):S6-S12.Synopsis
Four hundred and thirty eight patients undergoing inpatient primary TKA at 11 centers were randomized to receive 4 mg (n = 146), 8 mg (n = 147), or 16 mg (n = 145) of intraoperative IV dexamethasone, all within an identical multimodal analgesia/anesthesia protocol including neuraxial anesthesia, adductor canal block, periarticular injection, and standardized oral analgesics. The primary outcome wa...
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