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RMJ. 2018; 43(1): 106-110


Anti-emetic effect of combined dexamethasone and dimenhydrinate on post-operative nausea and vomiting in patients undergoing open appendectomy

Muhammad Nauman Zafar, Muhammad Usman, Syed Naveed Ali Shah, Ammar Zaman Khan, Hammad Firdous.

Abstract
Objective: To compare the anti-emetic effect of pre-operatively administered combination of dexamethasone and dimenhydrinate versus dimenhydrinate only on post-operative nausea and vomiting in patients undergoing open appendectomy.
Methodology: In this double-blinded randomized parallel group study, 90 patients undergoing open appendectomy were selected. Group I, received a combination of 8mg dexamethasone and 50mg dimenhydrinate pre-operatively and the group II received 50mg dimenhydrinate only. Patients and observing researcher were completely blinded to the treatment protocol given pre-operatively. The pharmacological variables of anesthesia were kept at a near constant level for all the subjects. Nausea and vomiting were assessed at 0-5 hours post-operatively.
Results: After excluding the patients with per-operatively discovered perforated appendix or post-operative histopathology report showing appendix to be non-inflamed, there were 44 patients in CDD (combined dexamethasone dimenhydrinate) group and 44 patients in D (dimenhydrinate only) group. Asymptomatic cases were observed in 45.4% of the CDD group while only 15.9% of the D group had asymptomatic cases at 0-5 hours post-operatively (p=0.006). Regarding nausea, 50% patients from CDD group and 81.8% from D group experienced some degree of post-operative nausea (p=0.002); 22.7% patients from CDD group and 54.5% from D group also experienced 1 or more than 1 episodes of vomiting during this time interval (p=0.002).
Conclusion: Pre-operative administration of a combination of 8mg intravenous dexamethasone and 50mg intravenous dimenhydrinate resulted in statistically significant lower incidence of post-operative nausea and vomiting at 0-5 hours post-operatively in patients undergoing open appendectomy.

Key words: Acute appendicitis, open appendectomy, dexamethasone, dimehydrinate.


 
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How to Cite this Article
Pubmed Style

Zafar MN, Usman M, Shah SNA, Khan AZ, Firdous H. Anti-emetic effect of combined dexamethasone and dimenhydrinate on post-operative nausea and vomiting in patients undergoing open appendectomy. RMJ. 2018; 43(1): 106-110.


Web Style

Zafar MN, Usman M, Shah SNA, Khan AZ, Firdous H. Anti-emetic effect of combined dexamethasone and dimenhydrinate on post-operative nausea and vomiting in patients undergoing open appendectomy. http://www.rmj.org.pk/?mno=267186 [Access: May 24, 2018].


AMA (American Medical Association) Style

Zafar MN, Usman M, Shah SNA, Khan AZ, Firdous H. Anti-emetic effect of combined dexamethasone and dimenhydrinate on post-operative nausea and vomiting in patients undergoing open appendectomy. RMJ. 2018; 43(1): 106-110.



Vancouver/ICMJE Style

Zafar MN, Usman M, Shah SNA, Khan AZ, Firdous H. Anti-emetic effect of combined dexamethasone and dimenhydrinate on post-operative nausea and vomiting in patients undergoing open appendectomy. RMJ. (2018), [cited May 24, 2018]; 43(1): 106-110.



Harvard Style

Zafar, M. N., Usman, M., Shah, S. N. A., Khan, A. Z. & Firdous, H. (2018) Anti-emetic effect of combined dexamethasone and dimenhydrinate on post-operative nausea and vomiting in patients undergoing open appendectomy. RMJ, 43 (1), 106-110.



Turabian Style

Zafar, Muhammad Nauman, Muhammad Usman, Syed Naveed Ali Shah, Ammar Zaman Khan, and Hammad Firdous. 2018. Anti-emetic effect of combined dexamethasone and dimenhydrinate on post-operative nausea and vomiting in patients undergoing open appendectomy. Rawal Medical Journal, 43 (1), 106-110.



Chicago Style

Zafar, Muhammad Nauman, Muhammad Usman, Syed Naveed Ali Shah, Ammar Zaman Khan, and Hammad Firdous. "Anti-emetic effect of combined dexamethasone and dimenhydrinate on post-operative nausea and vomiting in patients undergoing open appendectomy." Rawal Medical Journal 43 (2018), 106-110.



MLA (The Modern Language Association) Style

Zafar, Muhammad Nauman, Muhammad Usman, Syed Naveed Ali Shah, Ammar Zaman Khan, and Hammad Firdous. "Anti-emetic effect of combined dexamethasone and dimenhydrinate on post-operative nausea and vomiting in patients undergoing open appendectomy." Rawal Medical Journal 43.1 (2018), 106-110. Print.



APA (American Psychological Association) Style

Zafar, M. N., Usman, M., Shah, S. N. A., Khan, A. Z. & Firdous, H. (2018) Anti-emetic effect of combined dexamethasone and dimenhydrinate on post-operative nausea and vomiting in patients undergoing open appendectomy. Rawal Medical Journal, 43 (1), 106-110.




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