Discussion
gastrointestinal discomfort [, pain
REGRESSION
In this study, IV dexamethasone increased the time of two dermatomes regression of sensory level, the total time of sensory and motor block, and the time of the first analgesic request after hyperbaric bupivacaine spinal anesthesia in patients scheduled for lower abdominal surgery.Our study revealed a significant increase in the duration of two dermatomes regression. However, the difference between the two groups was only 4 min. Additionally, the duration of sensory block differed by 30 min between the two groups. Furthermore, we observed that the difference in the time of the first postoperative analgesic request between the two groups was only one hour.These findings closely align with the results reported by Juliane Guay et al. [Contrary to these findings, Shalu PS et al., [In a study by Kaur H et al., [Although the time to the first request for analgesics was not much prolonged in this study, the dexamethasone group exhibited lower VAS scores and consumed less analgesics compared to the control group. results align with previous studies demonstrating that intravenous dexamethasone provides superior pain relief after surgery [Limitations of this study:First, we didn’t assess the effect of dexamethasone on postoperative blood sugar levels or wound healing. However, the existing literature suggests that a single dose of intraoperative dexamethasone does not affect blood sugar, wound healing, or gastrointestinal discomfort [