Abstract | PURPOSE: METHODS: In a double-blinded study, 120 patients were randomly allocated to receive either dexamethasone 0.5 mg.kg(-1) (maximum dose 8 mg) iv or an equivalent volume of saline preoperatively. The incidence of early and late vomiting, need for rescue antiemetics, time to first oral intake, time to first demand of analgesia and analgesic consumption were compared in both groups. Pain scores used included Children's Hospital Eastern Ontario Pain Scale, "faces", and a 0-10 visual analogue pain scale. RESULTS: Compared with placebo, dexamethasone significantly decreased the incidence of early and late vomiting (P < 0.05, P < 0.001 respectively). Fewer patients in the dexamethasone group needed antiemetic rescue (P < 0.01). The time to first oral intake was shorter, and the time to first dose of analgesic was longer in the dexamethasone group (P < 0.01). Pain scores 30 min after extubation were lower (P < 0.05) in the dexamethasone group. At 12 and 24 hr postoperative swallowing was still significantly less painful in the dexamethasone group than in the control group (P < 0.01). CONCLUSION:
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Authors | Mokhtar Elhakim, Naglaa M Ali, Inas Rashed, Mostafa K Riad, Mona Refat |
Journal | Canadian journal of anaesthesia = Journal canadien d'anesthesie
(Can J Anaesth)
Vol. 50
Issue 4
Pg. 392-7
(Apr 2003)
ISSN: 0832-610X [Print] United States |
PMID | 12670818
(Publication Type: Clinical Trial, Journal Article, Randomized Controlled Trial)
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Chemical References |
- Anti-Inflammatory Agents
- Dexamethasone
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Topics |
- Anesthesia, General
- Anti-Inflammatory Agents
(therapeutic use)
- Child
- Child, Preschool
- Dexamethasone
(therapeutic use)
- Double-Blind Method
- Drinking
(drug effects)
- Female
- Humans
- Male
- Pain Measurement
- Pain, Postoperative
(prevention & control)
- Postoperative Nausea and Vomiting
(prevention & control)
- Prospective Studies
- Time Factors
- Tonsillectomy
(adverse effects)
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