The effect of perioperative betamethasone on post-operative nausea, vomiting and pain in children undergoing tonsillar surgery
2010 (English)In: British Journal of Anaesthetic and Recovery Nursing, ISSN 1742-6456, Vol. 11, no 2, 24-29 p.Article in journal (Refereed) Published
Objectives: To investigate if a single dose of betamethasone given perioperatively could reduce common post-operative problems such as vomiting, nausea and pain in children undergoing tonsillar surgery.
Background: Post-operative nausea and vomiting (PONV) are common problems after surgery caused by several perioperative factors, such as post-operative pain. Prophylactic treatment of PONV can be effective in improving recovery after surgery. Studies have shown that the use of a single dose of dexamethasone during tonsillectomies in children was efficient against PONV. Dexamethasone is not available in Sweden for intravenous administration; betamethasone was thought to be an alternative.
Method: The study was a retrospective cohort study including 69 children who underwent tonsillar surgery. A single dose of betamethasone perioperatively was introduced to a group of 32 children, to reduce PONV while 37 children did not receive betamethasone. Data were received from the medical records and from a post-operative questionnaire.
Results: No significant differences for children undergoing tonsillar surgery regarding the prevalence of PONV between the betamethasone group and the non-betamethasone group were found. This was maybe due to a comparatively low dose of betamethasone. However, the given dose was sufficient to significantly reduce post-operative pain.
Place, publisher, year, edition, pages
2010. Vol. 11, no 2, 24-29 p.
Betamethasone, children, PONV, tonsillectomy, pain
Medical and Health Sciences
IdentifiersURN: urn:nbn:se:umu:diva-38238DOI: 10.1017/S1742645610000100OAI: oai:DiVA.org:umu-38238DiVA: diva2:373813