中文 | ENG

第58卷 第1期 2025-1
Ensuring authorship qualification in clinical research articles: A focus on surgical therapy studies

.........................

第58卷 第1期 2025-1
Estimated risk for transfusion of monkeypox contaminated perioperative blood transfusion: A call to action for stronger regulations and testing protocols

.........................

第58卷 第1期 2025-1
Insights into traumatic and crisis surgery: Implications of data analysis in conflict zones

.........................

第58卷 第1期 2025-1
Tongue peeling as an adverse reaction with use of micronized purified flavonoid: A case report

.........................

第58卷 第1期 2025-1
Pilonidal sinus of scrotum: A rare clinical entity

.........................

第58卷 第1期 2025-1
Incidental autopsy finding of retiform hemangioendothelioma of the spleen

.........................

第58卷 第1期 2025-1
Retroperitoneal laparoscopy for hydronephrosis due to multiple fibroepithelial polyps: A case series

.........................

第58卷 第1期 2025-1
Case reports of type 1 cystic biliary atresia—A rare variant of biliary atresia alongwith reviewof literature

.........................

第58卷 第1期 2025-1
The predictors of intraoperative surgical expenses in liver resection for hepatocellular carcinoma

.........................

第58卷 第1期 2025-1
Intracorporeal anastomosis versus extracorporeal anastomosis following laparoscopic right hemicolectomy: Surgical outcomes of a single-center observational study

.........................

第58卷 第1期 2025-1
Quality of life and spiritual health in motorcycle accident survivors: An analysis using the SF-36 Questionnaire and Spiritual Scale

.........................

第58卷 第1期 2025-1
Plastin 3 expression in circulating tumor cells as a predictor of cancer status in patients with prostate cancer

.........................

第57卷 第6期 2024-11
Emerging robot-guided techniques in endodontic microsurgery

.........................

第57卷 第6期 2024-11
Management of subcapsular hematoma after living donor liver transplant

.........................

第57卷 第6期 2024-11
Urethral pseudodiverticulum with left-sided nonfunctioning kidney: Case report

.........................

第57卷 第6期 2024-11
Strategy to minimize surgical defect of dermatofi brosarcoma protuberans

.........................

第57卷 第6期 2024-11
Rapunzel syndrome—An uncommon disease with varied common presentations

.........................

第57卷 第6期 2024-11
Minimally invasive approaches to management of acute necrotizing pancreatitis

.........................

第57卷 第6期 2024-11
Innovative surgical technique: Addressing ethical concerns

.........................

第57卷 第6期 2024-11
Emergency surgery and HIV screening, clinical or universal scenarios?

.........................
登入帳號才能閱讀全文
 
篇名 Dexamethasone Combined with Morphine does not Decrease Postoperative Nausea and Vomiting in Patients Undergoing Thyroidectomy or Parathyroidectomy
作者 Jong-Yueh Lin, Fong-Fu Chou, Ting-Lung Lin, Kun-Chou Hsieh, Ya-Ling Yang
卷期/出版年月 43卷1期 (2010/2)
頁次 20-25
摘要 Objective: A prospective, randomized, double-blind study was conducted to investigate the efficacy of dexamethasone in the prevention of postoperative nausea and vomiting (PONV) in patients who underwent thyroid or parathyroid surgery, when combined with morphine injection at the end of general anesthesia. Methods: One hundred and twenty-two patients between 14 and 79 years old were included in this study. Group I (N=80) consisted of patients who received dexamethasone (10 mg) before induction, and Group II (N=42) consisted of those who received placebo (normal saline, 10 ml) before induction. Thirty-nine patients in group I were given morphine (5 mg) by the anesthetists, before the end of general anesthesia. At 4 hr and 24 hr after surgery, the sensation of nausea and the incidence of vomiting were assessed. Results: At 4 hr after surgery, the sensation of nausea and incidence of vomiting were significantly higher in Group II than in Group I without morphine injection (P=0.009 and P=0.010, respectively) and significantly higher in patients receiving morphine than in patients without morphine of Group I (P=0.026 and P=0.008, respectively). Conclusions: Preinduction with dexamethasone (10 mg) infusion can decrease PONV at 4 hr after surgery if morphine is not used, but dexamethasone infusion in conjunction with morphine injection before the end of general anesthesia does not decrease PONV.
關鍵詞 dexamethasone, general anesthesia, morphine, postoperative nausea and vomiting
分類 Original Article

台灣外科醫學會雜誌 © 2006 Taiwan Surgical Association All Rights Reserved
會 址:台北市南京東路五段 31 號 3 樓
電 話:(02) 2769-7845 傳 真:(02) 2746-7149 Email: journal@surgery.org.tw