Table 2.
Study Characteristics.
Author,Year | Surgery | Subjects (control/intervention/[intervention]) | Glucocorticoid/timing | Equivalent dexamethasone dose (mg) http://clincalc.com/Corticosteroids/ |
Anaesthesia | Pre-op analgesia | Post-op analgesia | Followup | Age (Mean) |
---|---|---|---|---|---|---|---|---|---|
Backes JR et al. [9] | TKA or THA | N = 120 (37/41/42) | Dexamethasone 10 mg IV/immediately prior to surgery; third group additional dose 24 h post-op | 10 | General | Oxycodone ER, celecoxib | PCA (dilaudid)x24 h, Oxycodone, hydrocodone/acetaminophen and/or dilaudid TKA patients − intra-articular pain pump (bupivicaine), celecoxib |
24 weeks | 66 |
Lunn TH et al. [10] | TKA | N = 48 (24/24) | Methylprednisolone 125 mg IV/immediatley prior to surgery | 25 | Spinal | Gabapentin, acetaminophen, celecoxib | Periarticular injection (ropivacaine, epinephrine), celecoxib, acetaminophen, gabapentin, sufentanil in PACU, oxycodone | 30 days | 66.5 |
Lunn TH et al. [11] | THA | N = 48 (24/24) | Methylprednisolone 125 mg IV/immediatley prior to surgery | 25 | Spinal | Gabapentin, acetaminophen, celecoxib | Celecoxib, acetaminophen, gabapentin, sufentanil in PACU, morphine | 30 days | 66 |
Koh IJ et al. [12] | TKA | N = 291 (145/146) | Dexamethasone 10 mg IV/one hour prior to surgery | 10 | spinal, continuous femoral nerve block | Pregabalin, oxycodone ER, celecoxib, acetaminophen | Periarticular injection (ropivacaine, morphine, ketorolac, epinephrine, cefuroxime), PCA (fentanyl), continuous femoral nerve block, celecoxib, pregabalin, acetaminophen, ketoprofen | 1 year | 72 |
Mathiesen O et al. [13] | THA | N = 126 (42/42/42) | Dexamethasone 8 mg IV/immediately prior to surgery | 8 | Spinal | Acetaminophen | PCA (morphine), acetaminophen | 24 h | 67 |
Kardash KJ et al. [14] | THA | N = 50 (25/25) | Dexamethsone 40 mg IV/immediately prior to surgery | 40 | Spinal | None | PCA (morphine), acetaminophen, ibuprofen | 1 month | 69 |