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The effect of perioperative betamethasone on post-operative nausea, vomiting and pain in children undergoing tonsillar surgery
Umeå University, Faculty of Medicine, Department of Nursing.
Umeå University, Faculty of Medicine, Department of Clinical Sciences, Otorhinolaryngology.
Umeå University, Faculty of Medicine, Department of Nursing.
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
Abstract [en]

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.
Keyword [en]
Betamethasone, children, PONV, tonsillectomy, pain
National Category
Medical and Health Sciences
URN: urn:nbn:se:umu:diva-38238DOI: 10.1017/S1742645610000100OAI: diva2:373813
Available from: 2010-12-01 Created: 2010-12-01 Last updated: 2013-11-26Bibliographically approved

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Sundgren, CarolaTano, Kristervan den Berg, Johannes
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