Administration of Dexamethasone in PONV Prophylaxis in Children Undergoing Adenotomy
Status:
Completed
Trial end date:
2019-03-31
Target enrollment:
Participant gender:
Summary
Adenotomy, together with tonsillectomy, belongs among the most frequently performed surgical
procedures in paediatric patients. These surgical procedures are associated with the second
highest incidence of post-operative nausea and vomiting (PONV) (following strabism correction
surgery) in paediatric surgery. PONV is associated, apart from the discomfort for the child,
with a number of complications: dehydration, metabolic disruption or danger of haemorrhage
and aspiration of the gastric content. Adenotomy is a typologically completely different
surgical procedure, with a different target structure of the surgery, and the length and
invasiveness of the procedure. Thus, it is possible to expect a difference in PONV incidence
when compared to tonsillectomy. Adenotomy is a surgical procedure performed namely in
children of the pre-school age. This is associated, among others, also with the problem of
objectivization of post-operative nausea, which is very difficult to verbalize in small
children, being a subjective feeling of body discomfort. It is possible to expect that the
overall incidence of PONV will be significantly underestimated.