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Perineural dexamethasone enhances duration of rector spinae plane block in total hip arthroplasty
December 2025
Perineural dexamethasone enhances duration of rector spinae plane block in total hip arthroplasty
Study Type:Therapy
OE Level Evidence:1
Journal Level of Evidence:1
Perineural dexamethasone enhances analgesic duration of erector spinae plane block in total hip arthroplasty: A randomized quadruple-blind controlled trial.
J Orthop. 2025 01-Aug:. 10.1016/j.jor.2025.08.033Synopsis
Sixty elderly patients undergoing unilateral total hip arthroplasty (THA) were randomized to receive erector spinae plane block (ESPB) with either ropivacaine & dexamethasone or ropivacaine & saline. All blocks were performed at L3 under ultrasound guidance, immediately after spinal anesthesia. The primary outcome was time to first rescue opioid. Secondary outcomes included 48-hour opioid consumpt...
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