Prof. Eric Albrecht, MD, DESA’s Post

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University Hospital of Lausanne and University of Lausanne

A new meta-analysis comparing iv vs pn dexamethasone for the intescalene brachial plexus block [https://lnkd.in/e6_zqdfs]. In brief, there is low-quality evidence that perineural administration of dexamethasone as a local anaesthetic adjunct increases duration of analgesia by an average of 2 h compared with intravenous injection for interscalene brachial plexus block. Given the limited clinical relevance of this difference, the off-label use of perineural administration, and the risk of drug crystallisation, we recommend intravenous dexamethasone administration.

Intravenous versus perineural dexamethasone to prolong analgesia after interscalene brachial plexus block: a systematic review with meta-analysis and trial sequential analysis

Intravenous versus perineural dexamethasone to prolong analgesia after interscalene brachial plexus block: a systematic review with meta-analysis and trial sequential analysis

bjanaesthesia.org

Gebrehiwot Asfaw

Assistant Professor at Bahir Dar University

3mo

What is your tought about the local anti-inflammatory effect of iv vs pn in case of possible nerve injury (inadvertent intra neural injection)?

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Gebrehiwot Asfaw

Assistant Professor at Bahir Dar University

3mo

What is your tought about the local anti-inflammatory effect of iv vs pn in case of possible nerve injury (inadvertent intra neural injection)?

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anne de sede de leioux

Infirmière en anesthésie intérimaire

3mo

De la dexa dans une de tes études… étonnant !

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Alain-Stéphane Eichenberger

Médecin-Adjoint, M.D. responsable secteur Hors bloc (NORA),Service d'Anesthésie, Hôpitaux Universitaires de Genève

3mo

Bravo cher Éric! 👍🏻

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