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Comparison of Lignocaine-Dexamethasone vs. Lignocaine-Triamcinolone for Preventing Post Spinal-Epidural Backache: A
Ankit Soni1, Brijesh P Singh1, Vinod K Srivastava1
1Anaesthesiology, King George's Medical University, Lucknow, IND.
Cureus
|January 17, 2025
Summary
Adding steroids like dexamethasone or triamcinolone with lignocaine infiltration significantly reduces post-needle puncture backache after lower abdominal surgery compared to lignocaine alone.
Area of Science:
- Anesthesiology
- Pain Management
- Surgical Procedures
Background:
- Post-procedural backache is a common complication following lower abdominal surgeries.
- Local anesthetic infiltration along the needle insertion pathway is a potential preventive strategy.
Purpose of the Study:
- To compare the efficacy of lignocaine-dexamethasone and lignocaine-triamcinolone infiltration in preventing backache after lower abdominal surgeries.
Main Methods:
- Prospective, double-blind, randomized controlled study.
- 150 patients undergoing elective lower abdominal surgery under combined spinal-epidural anesthesia.
- Three groups: Lignocaine alone (L), Dexamethasone-Lignocaine (DL), Triamcinolone-Lignocaine (TL).
Main Results:
- Postoperative pain assessed using Visual Analogue Score (VAS).
- Significantly lower VAS scores (p<0.001) in DL and TL groups compared to L group at multiple time points.
- No significant differences in anthropometric or demographic findings among groups.
Conclusions:
- Local infiltration with lignocaine combined with dexamethasone or triamcinolone effectively reduces post-needle puncture backache.
- Steroid addition to lignocaine offers superior pain relief compared to lignocaine alone for this indication.
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