Ji. Tzeng et al., Dexamethasone for prophylaxis of nausea and vomiting after epidural morphine for post-Caesarean section analgesia: comparison of droperidol and saline, BR J ANAEST, 85(6), 2000, pp. 865-868
Citations number
29
Categorie Soggetti
Aneshtesia & Intensive Care","Medical Research Diagnosis & Treatment
We have evaluated the prophylactic effect of i.v. dexamethasone 8 mg in pre
venting nausea and vomiting during epidural morphine for post-Caesarean sec
tion analgesia. Droperidol 1.25 mg and saline served as the control. We stu
died 120 parturients (n = 40 in each group) receiving epidural morphine for
post-Caesarean section analgesia, in a randomized, double-blind, placebo-c
ontrolled study. All parturients received epidural morphine 3 mg. Both dexa
methasone and droperidol significantly decreased the total incidence of nau
sea and vomiting compared with saline, with incidences of 18, 21 and 51% fo
r the three treatments respectively (P<0.01 and P<0.05 respectively). Partu
rients who received droperidol reported a more frequent incidence of restle
ssness (16%) than those who received dexamethasone (P<0.05).