Evaluation of IV dexamethasone for hemodynamic stability in lower limb orthopaedic surgery
Journal Title: Indian Journal of Scientific Research - Year 2017, Vol 8, Issue 1
Abstract
Background: Elderly patient undergoing surgery have special consideration that are to be taken care of. They are more likely to develop hemodynamic instability after anaesthesia. Material and Methods: A randomized placebo controlled, dose finding study was conducted on a series of 120 patients of either sex, more than 60 years of age on selective population of Bundelkhand region , hospitalized for lower limb orthopaedic surgeries under spinal blockade to assess role of IV desamathasone given perioperatively; on haemodynamic stability in elderly patients. The selected patients were divided into four groups of 30 patients each, where in group I 4ml of IV saline was given which served as control group, while in the study groups-II(D8),III(D12),IV(D16)-8mg,12 mg&16mg IV dexamethasone was given,just before giving spinal blockade. Result: haemodynamic stability was maintained in all the groups Conclusion: dexamethasone in dose of 16 & 12 mg. or may be higher is a valuable tool added to the armamentarium of the present day anaesthesiologist in combating postoperative pain as haemodynamic stability was maintained in all groups
Authors and Affiliations
Sarvesha k
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