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The Effect of Perioperative Betamethasone on Post-operative Nausea, Vomiting and Pain in Children Undergoing Tonsillar Surgery

Published online by Cambridge University Press:  01 May 2010

Ulrica Johansson ,
Carola Sundgren ,
Krister Tano  and
Johannes van den Berg
Ulrica Johansson
Affiliation:
Department of Pediatric, Sunderby Hospital, Luleå, Sweden
Carola Sundgren
Affiliation:
Department of Nursing, Umeå University, Umeå, Sweden
Krister Tano
Affiliation:
ENT Department, Sunderby Hospital, Luleå and Department of Clinical Science, Otorhinolaryngology, University of Umeå, Umeå, Sweden
Johannes van den Berg*
Affiliation:
Department of Nursing, Umeå University, Umeå, Sweden
*
Correspondence to: Johannes van den Berg, RN, PhD, Senior lecturer, Division of Pediatrics/Barnavdelning 4, University Hospital Umeå, 901 85 Umeå, Sweden. E-mail: [email protected]
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Abstract

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.

Keywords

BetamethasoneChildrenPONVTonsillectomyPain
Type
Original Articles
Information
British Journal of Anaesthetic & Recovery Nursing , Volume 11 , Issue 2 , May 2010 , pp. 24 - 29
Copyright
Copyright © British Association of Anaesthetic and Recovery Nursing 2010

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