Fascia Iliaca Block Successfully Prolonged With Dexmedetomidine and Dexamethasone for Pain Control in a Patient Undergoing Total Hip Arthroplasty

Copyright © 2020, Noor et al..

Regional anesthesia has found many advocates as enhanced recovery after surgery continues to become a more popular option for procedures such as total hip arthroplasty. Among the many benefits is the better pain control with a reduction or complete elimination of the need for opioids for perioperative pain management. With aims to improve the multi-modal approach to pain management, we present a case demonstrating further improvements in the regional anesthetic technique with the addition of a dexamethasone and dexmedetomidine adjuvant to the local anesthetic injectate. Our case is that of a 65-year-old woman with a history of hypertension, hyperlipidemia, and right hip osteoarthritis undergoing a right total hip arthroplasty who received a preoperative ultrasound-guided fascia iliaca block with the adjuvants dexamethasone and dexmedetomidine added to the injectate. The surgery was uneventful. She did not require any postoperative opioid or non-opioid analgesics, denying any pain for the first three postoperative days.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:12

Enthalten in:

Cureus - 12(2020), 10 vom: 11. Okt., Seite e10897

Sprache:

Englisch

Beteiligte Personen:

Noor, Nazir A [VerfasserIn]
Urits, Ivan [VerfasserIn]
Viswanath, Omar [VerfasserIn]
Kaye, Alan D [VerfasserIn]
Eskander, Jonathan [VerfasserIn]

Links:

Volltext

Themen:

Case Reports
Dex-dex
Dexamethasone
Dexmedetomidine
Fascia iliaca block
Total hip arthroplasty

Anmerkungen:

Date Revised 17.11.2020

published: Electronic

Citation Status PubMed-not-MEDLINE

doi:

10.7759/cureus.10897

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM317618652