Postoperative vomiting reduction after laparoscopic cholecystectomy with single dose of dexamethasone

被引:0
作者
Bianchin, A.
De Luca, A.
Caminiti, A.
机构
[1] G Carretta City Hosp, Dept Anesthesia, Treviso, Italy
[2] G Carretta City Hosp, Gen & Endoscop Surg Unit, Treviso, Italy
关键词
postoperative nausea and vomiting; dexamethasone; laparoscopy; surgery; cholecystectomy; anesthesia; general;
D O I
暂无
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Aim. The incidence of postoperative nausea and vomiting (PONV) is high after laparoscopic surgery. A number of drugs have been used for prevention; in some studies a single dexamethasone dose before induction of anaesthesia has been effective. Methods. To test the effectiveness of this therapy, we recruited 80 patients in a double-blind placebo-controlled study (dexamethasone 8 mg or placebo) scheduled for laparoscopic cholecystectomy. We measured nausea, vomiting, postoperative pain and length of stay. Results. Patients who received preoperative dexamethasone had a reduction of PONV, but experienced the same degree of postoperative pain and remained in the hospital for the same duration. No apparent side effects were observed. Conclusion. Although only a small number of patients were tested, we confirm the efficacy of dexamethasone therapy for reduction of PONV. We suggest routine use of a single dose of dexamethasone for the prevention of PONV in laparoscopic cholecystectomy.
引用
收藏
页码:343 / 346
页数:4
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