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Thread: Interscalenes with Depo Medrol to enhance block duration.
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Old 02-27-2011, 07:43 AM   #19
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Originally Posted by sevoflurane View Post
Followed up on my interscalene from a couple days ago. I got 25ish hours out of it. This supports that the addition of steroids to interscalene block cocktail has a benefit in prolonging the block. My N=1.
I would love to add that special ingredient which is "safe" and reliably gives a sensory block for more than 24 hours. Is that Decadron? Is it "safe"? Where is the data supporting safety in all patient populations? Do you use preservative free Decadron or "regular" 30 cent Decadron? How much is best for a Diabetic? 4 mg? 6mg? Does Decadron promote Second crush neuronal injury? Which is safer? Depo-Medrol or Decadron?
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