Perineural Versus Systemic Dexamethasone in Front-Foot Surgery Under Ankle Block

Marty, Philippe; Rontes, Olivier; Chassery, Clement; Vuillaume, Corine; Basset, Bertrand; Merouani, Mehdi; Marquis, Constance; Bataille, B.; Chaubard, Martine; Mailles, Marie Claude; Ferré, Fabrice; Delbos, Alain

doi:10.1097/aap.0000000000000769

Cited by 10 publications

(9 citation statements)

References 25 publications

(22 reference statements)

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“…We thank Dr Abdallah et al for their comments regarding our article and welcome all valuable opinions 1. However, we respectfully disagree with their statement of inaccuracy of our main conclusion.…”

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confidence: 69%

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Marty

Rontes

Chassery

et al. 2019

Regional Anesthesia &Amp; Pain Medicine

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mentioning

confidence: 69%

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Marty

Rontes

Chassery

et al. 2019

Regional Anesthesia &Amp; Pain Medicine

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“…The recently adoption of enhanced recovery and ambulatory programs after fasttrack orthopedic surgery protocols has sparked a renewed interest in ankle blocks [9].…”

Section: Introductionmentioning

confidence: 99%

Eco-Guided Ankle Block: Analgesia and Anesthetic Technique for Foot Surgery

De La Espriella

2024

Contemporary Approach to Trauma and Emergency Surgery

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Regional anesthesia for foot surgery has become increasingly popular, there are different reasons including: most surgeries are ambulatory, great pain management during the early postoperative phase, reduced time spent in the post-anesthesia care unit, and minimizing opioid use during the perioperative period are achieved through effective ankle blockade. This procedure involves blocking the five nerves responsible for sensory supply to the area below the malleoli. It can be used both as an anesthetic technique (used together with general or neuraxial anesthesia), as well as analgesia in the context of multimodal analgesia providing adequate post-operative analgesia. All five nerves can be blocked using ultrasonography, allowing for lower latency and a smaller volume of local anesthetic.

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“…[3,4] Dexamethasone, a glucocorticoid with minimal mineralocorticoid effect, has been commonly used to prolong the analgesic duration of PNB, either by perineural or intravenous injection. [5][6][7] Concerning the "off-label" use and potential neurotoxicity for perineural administration of dexamethasone, [8][9][10] intravenous route may be more appropriate to use in PNB, because a meta-analysis indicates those 2 routes produce equivalent analgesic effects and show comparable safety profiles. [5] Currently, various dose of intravenous dexamethasone has been suggested to improve the analgesic effects of PNB and several studies compared the effects of different dose of intravenous dexamethasone on PNB, [11][12][13] but the results were not consistent.…”

Section: Introductionmentioning

confidence: 99%

The optimal dose of intravenous dexamethasone in peripheral nerve blocks: A protocol for systematic review and meta-analysis

Wei

Zhang

2022

Medicine

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Background: Although intravenous dexamethasone prolongs the duration of analgesia for peripheral nerve blocks (PNB), the optimal dose of dexamethasone is not yet determined. This protocol aims to compare the analgesic effects of different doses of intravenous dexamethasone on PNB. Methods: We will search PubMed, EMBASE, the Cochrane Central register of Controlled Trials (CENTRAL), and Web of Science to identify randomized controlled trials that compared the effects of different doses of intravenous dexamethasone for PNB. The duration of analgesia will be defined as the primary outcome. Secondary outcomes will include pain scores, analgesics consumption >48 hours, and the incidence of adverse effects. RevMan 5.3 software will be used for data analysis. Results: This study will explore the optimal dose of intravenous dexamethasone for the prolongation of analgesia in PNB. Conclusion: The results of this study will provide evidence for the dose selection of intravenous dexamethasone in PNB.

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Perineural Versus Systemic Dexamethasone in Front-Foot Surgery Under Ankle Block

Abstract: This study was registered at ClinicalTrials.gov, identifier NCT02904538.

Cited by 10 publications

References 25 publications

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Eco-Guided Ankle Block: Analgesia and Anesthetic Technique for Foot Surgery

The optimal dose of intravenous dexamethasone in peripheral nerve blocks: A protocol for systematic review and meta-analysis

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