EVALUATION OF ADVERSE EFFECTS IN THE PREVENTION OF NAUSEA AND VOMITING USING ONDANSETRON COMBINED WITH DEXAMETHASONE AFTER LAPAROSCOPIC APPENDECTOMY

Tiến Đức Nguyễn, Quốc Thành Phan

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Abstract

Objective: To evaluate the impact on heart rate, respiratory rate, blood pressure, SPO2, and the adverse effects of ondansetron combined with dexamethasone in preventing nausea and vomiting after laparoscopic appendectomy at 175 Military Hospital from January 2021 to May 2022. Subjects and Methods: This was a prospective, descriptive study comparing two groups. Group O received 4 mg of ondansetron, and Group OD received 4 mg of ondansetron combined with 4 mg of dexamethasone. Results: Heart rate, respiratory rate, blood pressure, and SPO2 levels in both groups were stable and did not change significantly 24 hours after surgery, with no statistically significant differences. Common adverse effects in Group O included dizziness (20.4%), headache (8.2%), tremors (6.1%), itching (2.1%), heartburn (2.1%), and cough (2.1%). In Group OD, common adverse effects were dizziness (16%), tremors (18.4%), and headache (10.2%), with no statistically significant differences between the two groups. Conclusion: The use of ondansetron combined with dexamethasone for preventing nausea and vomiting after laparoscopic appendectomy is relatively safe.

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References

. Nguyễn Mimh Hải. So sánh tác dụng dự phòng buồn nôn và nôn của ondansetron và metoclopramid sau phẫu thuật nội soi ổ bụng. 2011, Luận văn thạc sỹ y khoa Học viện Quân y.
2. Bhattarai, B., S. Shrestha, and J. Singh, Comparison of ondansetron and combination of ondansetron and dexamethasone as a prophylaxis for postoperative nausea and vomiting in adults undergoing elective laparoscopic surgery. J Emerg Trauma Shock, 2011. 4(2):168-72.
3. Dua, N., et al., Randomized double blind comparative study comparing efficacy of granisetron and ondansetron for the prophylactic control of postoperative nausea and vomiting in patients undergoing middle ear surgery. Indian J Otolaryngol Head Neck Surg, 2014.66(Suppl 1):252-6.