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Dexamethasone as an Adjuvant to Bupivacaine in Paravertebral Block for Lumbar Spine Surgery
September 2025
Dexamethasone as an Adjuvant to Bupivacaine in Paravertebral Block for Lumbar Spine Surgery
Study Type:Therapy
OE Level Evidence:1
Journal Level of Evidence:1
Dexamethasone Plus Bupivacaine Versus Bupivacaine in Bilateral Transincisional Paravertebral Block in Lumbar Spine Surgeries: A Randomized Controlled Trial.
Clin J Pain . 2023 Sep 1;39(9):458-466.Synopsis
Fifty (fifty) patients undergoing elective lumbar spine surgery were randomized to receive bilateral TiPVB with bupivacaine 0.20% plus 4 mg dexamethasone per side (n = 25) or bupivacaine 0.20% plus saline per side (n = 25), in addition to standardized general anesthesia and PCA protocols. The primary outcome was time to first analgesic requirement. Secondary outcomes included total morphine consum...
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