Hi thanks for give us your Exelent conference we use Triamcinolone in our ESP block for spine surgery and bupivacaine 20 cc o.25% before surgery with Exelent outcomes for 48 h and surgery epidural block in 2 or more Level
Thanks for that - I have never used triamcinolone. Do you consider it to be more effective than dexamethasone in extending the effect? How much do you use?
Nothing that bothers surgeons - a drop in the "ocean" that they generate themselves. But it's why it's important to allow sufficient time for block onset before the start of surgery.