Objective: To assess the effectiveness of intravenous dexamethasone along with caudal block in improving analgesia following inguinal hernia repair in children.
Methods: The double-blind randomised controlled trial was conducted over a 6-month period from June 01, 2016 to November 30, 2016 at the Aga Khan University Hospital, Karachi, and comprised patients aged 1-5 years, scheduled for elective inguinal hernia repair. The subjects were randomised into two groups using the sealed envelope technique. Group D patients received 0.5mg/kg dexamethasone intravenous in 5ml, and group P was given placebo (5ml 0.9% saline). Assessment of postoperative pain was made through the faces, legs, activity, cry and consolability tool at 30 minutes and hourly for 4 hours. Rescue analgesia was given at pain score 3 or more with intravenous pethidine 0.5 mg/kg. SPSS 19 was used for data analysis.
Results: Of the 64 patients, there were 55(85.9%) boys and 9(14.1%) girls. The overall mean age was 29.8}13.8 months. The mean postoperative pain score was significantly higher in group P (p<0.05). At 30 minutes and two hours postoperatively, need for analgesia was also significantly higher in group P (p<0.05).
Conclusions: In paediatric day-care inguinal hernia repair, dexamethasone could be used effectively for improving pain relief.
JPMA. The Journal of the Pakistan Medical Association
(2019). Intravenous dexamethasone along with caudal block improves analgesic efficacy following day-case inguinal hernia repair in children: A randomized controlled trial. JPMA. The Journal of the Pakistan Medical Association, 69(12), 1785-1789.
Available at: https://ecommons.aku.edu/pakistan_fhs_mc_anaesth/384