Is there a Role for IV Dexamethasone in Perioperative Pain Management?
|Alimorad G Djalali*|
|Director of Abdominal Surgery Rotation, Department of Anesthesiology, Stanford University, USA|
|Corresponding Author :||Alimorad G Djalali
Director of Abdominal Surgery Rotation
Department of Anesthesiology
300 Pasteur Dr, Rm H3580 MC 5640
Stanford, CA 94305, Stanford University, USA
E-mail: [email protected]
|Received August 05, 2012; Accepted August 06, 2012; Published August 08, 2012|
|Citation: Djalali AG (2012) Is there a Role for IV Dexamethasone in Perioperative Pain Management? J Pain Relief 1:e113. doi: 10.4172/2167-0846.1000e113|
|Copyright: © 2012 Djalali AG. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.|
More than twelve years after the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) declared freedom from pain as a quasi human right, treatment of postoperative pain is still a major challenge for providers caring for surgical patients. Patient’s hospital experiences are strongly influenced by their perception of pain management and their provider’s competency to ease pain. In spite of numerous publications “demonizing” the adverse effects of opioids, opioids deservedly remain the major pain treatment modality in our daily anesthesia practice. We must admit that a true alternative to opioids is not yet found. A multimodal approach to the treatment of pain is the current and preferred concept of acute and chronic pain management. By combining opioids with other nonopioid adjuncts, such as gabapentin, pregabalin, ketamine, clonidine, etc., providers seek to reduce the opioid dose by utilizing the additive or synergistic effect of non-opioid substances.