https://doi.org/10.5812/aapm.6945

Granisetron Versus Dexamethasone in Prophylaxis of Nausea and Vomiting After Laparoscopic Cholecystectomy

authors:

avatar Mohammad Ali Ali Hessami 1 , avatar Mitra Yari ORCID 2 , *

Department of Surgery, Kermanshah University of Medical Sciences, IR Iran
Clinical Research Development Center, Imam Reza Hospital, Department of Anesthesiology, Kermanshah University of Medical Sciences, myari@kums.ac.ir, IR Iran
Anesthesiology and Pain Medicine: Vol.2, issue 2; 81-84
published online: September 26, 2012
article type: Research Article
received: June 27, 2012
accepted: July 26, 2012

how to cite: Hessami M A, Yari M. Granisetron Versus Dexamethasone in Prophylaxis of Nausea and Vomiting After Laparoscopic Cholecystectomy. Anesth Pain Med. 2012;2(2): 81-84. https://doi.org/10.5812/aapm.6945.

Abstract

Background:

Post-operative nausea and vomiting (PONV) is one of the common problems after laparoscopic cholecystectomy.

Objectives:

The current study aimed to compare Dexamethasone effect with that of Granisetron in prevention of PONV.

Patients and Methods:

In the current study 104 patients aged 20-60 with ASA class I or II who were candidates for laparoscopic cholecystectomy were included in the study. Patients were randomly divided into two groups of A and B. 15 minutes before anesthesia induction, in group a patients 3 mg Granisetron and in group B patients 8 mg Dexamethasone was intravenously injected. Then both groups underwent general anesthesia with similar medications. After operation the prevalence of nausea and vomiting was assessed at three time intervals (0-6 hours, 6-12 hours and 12-24 hours after consciousness). SPSS software version 16 was employed to analyze data. T test, chi-square test and Fischer exact test were performed level of significance was P < 0.05.

Results:

There was no significant difference between age, gender proportion, weight, height, and body mass index (BMI) of patients in the two groups. In Dexamethasone group, seven patients experienced nausea and three patients had vomiting, and in Granisetron group, five patients experienced nausea and three patients had vomiting after consciousness. Statistical analysis indicated no significant difference between the two groups in this regard.

Conclusions:

Intravenous injection of 8 mg Dexamethasone or 3 mg Granisetron before anesthesia induction had similar effects in prophylaxis of nausea and vomiting after laparoscopic cholecystectomy.

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