Effect of Dexamethasone in Management of Postoperative Nausea, Vomiting and Pain After Tonsillectomy in Paediatric Patients

• DOI: 10.36348/gajms.2023.v05i04.004
• Publication Date: 2023-08-11T10:22:08Z
• Authors: MD. Maminur Rahman; MD. Jahirul Islam; Khadijatul Kubra; Noor-E-Jannat Tania; Afifa Ferdous

Introduction: The effectiveness of dexamethasone (DEX) in reducing complication rates following paediatric tonsillectomy is still up for debate. incidence postoperative nausea and vomiting (PONV) the severity pain were examined by comparing concentrations DEX 0.15 0.5 mg/kg, respectively. Aim study: aim study to assess effect Dexamethasone management nausea, after where targeted patients are 3 10 years children. Methods: This prospective cross sectional was conducted Department Paediatric Anaesthesiology Surgical ICU Bangladesh Shishu Hospital Institute, Dhaka, during July 2019 June 2022. included 123 children undergoing elective tonsillectomy. Institutional Ethics Committee approved this informed parental written consent obtained from parents before collecting patients’ information. Results: prevalence early PONV lower both groups (DEX 0.15: 22%; 0.5: 26%; placebo: 48%; P=0.001). On second day surgery, had a rate severe 20%; 5%; 47%; P<0.001). not difference between two dose Dexamethasone. Conclusions: frequency late level on reduced an i.v injection induction anesthesia. To reduce PONV, it appeared that mg/kg just as effective mg/kg.