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ACE Report #9200
Ace Report Cover Pediatric Orthopaedics

Adjuvant IV or epidural dexamethasone in lower limb surgeries among pediatric patients

Study Type:Therapy
OE Level Evidence:2
Journal Level of Evidence:N/A

A New Look on Adding Dexamethasone as an Adjuvant to Caudal Bupivacaine; Efficacy on Postoperative Pain and Vomiting in Pediatric Patients

Pain Physician. 2016 Jul;19(6):E841-52.

Contributing Authors: SK Abd-Elshafy AM Yacoup EE Abdalla TT El-Melegy KA Abd-Elsalam

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90 pediatric patients undergoing lower-extremity orthopaedic surgery with caudal epidural nerve blocks were randomized to one of three groups: (1) adjuvant intravenous dexamethasone, (2) adjuvant caudal epidural dexamethasone, and (3) placebo (saline). The purpose of this trial was to determine the effect of dexamethasone on postoperative analgesia and vomiting. The results of this study demonstra...

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