Abstract
To determine the effectiveness of dexamethasone to reduce pain, nausea and vomiting after septoplasty. Study is a prospective double-blind randomized controlled trial. A total of 90 patients were enrolled and received an either of dexamethasone or placebo in the induction of anesthesia. The patients were asked to note the level of pain on the visual analogue scale in the first 24 h after surgery. They also had to record their severity of nausea and number of vomiting attacks. There were statistically significant differences between the two groups for the level of pain noted on the visual analogue scale. The severity of nausea was lower after treatment with dexamethasone but the difference between two groups was not significant. There was also a significant decrease in the number of vomiting attacks in patients treated with dexamethasone. A single dose of 8 mg of dexamethasone, given intravenously, at induction of anesthesia for septoplasty significantly decreased the pain, post-operative nausea and vomiting for the day of operation.
Similar content being viewed by others
References
Elhakim M et al (2003) Dexamethasone reduces postoperative vomiting and pain after pediatric tonsillectomy. Can J Anesth 50:392–397
Stewart R et al (2002) Dexamethason reduces pain after tonsillectomy in adults. Clin Otolaryngol 7:321–327
Liu K et al (1998) Effect of dexamethasone on postoperative emesis and pain. Br J Anaesth 80:85–86
Kaygusuz I, Susaman N (2003) The effects of Dexamethasone, bupivacain and topical lidocain spray on pain after tonsillectomy. Int J Pediatr Ontolaryngol 67:737–742
Tewary AK, Cable HR, Barr GS (1993) Steroids and control of post tonsillectomy pain. J Laryngol Otol 107:605–606
Catlin FI, Grimes WJ (1991) The effect of steroid therapy on recovery from tonsillectomy in children. Arch Otolaryngol Head Neck Surg 117:649–652
Furst SR, Rodarte A (1994) Prophylactic antiemetic treatment with ondansetron in children undergoing tonsillectomy. Anesthesiology 81:799–803
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Eftekharian, A., Roozbahany, N.A. Use of Intravenous Steroids at Induction of Anesthesia for Septoplasty to Reduce Post-Operative Nausea and Vomiting and Pain: A Double-Blind Randomized Controlled Trial. Indian J Otolaryngol Head Neck Surg 65 (Suppl 2), 216–219 (2013). https://doi.org/10.1007/s12070-011-0324-5
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12070-011-0324-5