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EDITORIAL REVIEW Preoperative single-dose intravenous dexamethasone during ambulatory surgery: update around the benefit versus risk Jan Jakobsson Department of Anesthesia & Intensive Care, Institution Purpose of review for Physiology & Pharmacology, Karolinska Institutet, Pain, emesis, and fatigue are not uncommon symptoms after ambulatory surgery having Stockholm, Sweden impact on patients’ satisfaction with quality of care. Multimodal management of Correspondence to Jan Jakobsson, MD, PhD, Adjunct postoperative pain and nausea and vomiting has become standard of care. Professor, Department of Anaesthesia, Hand & Foot Surgical Center, Stora¨ngsva¨gen 10, 115 42 Recent findings Stockholm, Sweden There is a growing body of evidence for the beneficial effects from preoperative single- Tel: +46 8 70 250 09 60; e-mail: jan.jakobsson@ki.se dose intravenous (i.v.) glucocorticoids for reducing pain, emesis, and fatigue, thereby Current Opinion in Anesthesiology 2010, improving the recovery process and patient satisfaction. Side-effects are infrequently 23:682–686 reported. Summary The benefits versus risk associated to single preoperative i.v. dose of dexamethasone seem positive based on current evidence facilitating the recovery reducing pain and postoperative nausea and vomiting. Keywords ambulatory anesthesia, dexamethasone, glucocorticoids, postoperative pain Curr Opin Anesthesiol 23:682–686 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins 0952-7907 postoperative beneficial effects have been
Current Opinion in Anesthesiology – Wolters Kluwer Health
Published: Dec 1, 2010
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