This approach has been design ed to provide adequate analgesia while minimizing exposure to adverse events
Background : Laparoscopic cholecystectomy has advantages over the open procedure for postoperative pain .
However , a systematic review of postoperative pain management in this procedure has not been conducted .
Dexamethasone reduces nausea and vomiting after laparoscopic cholecystectomy.
We have evaluated the antiemetic effect of i.v . dexamethasone compared with saline in the prevention of nausea and vomiting after laparoscopic cholecystectomy . We studied 90 patients requiring general anaesthesia for laparoscopic cholecystectomy , in a r and omized , double-blind , placebo-controlled study . The  dexamethasone group ( n = 45 ) received dexamethasone 8 mg i.v . and the saline group received saline 2 ml i.v . at induction of anaesthesia . Anaesthesia was maintained with isoflurane in oxygen . We found that 10 % of patients in the dexamethasone group compared with 34 % in the saline group reported vomiting ( P < 0.05 ) . Of note , the total incidence of nausea and vomiting was 23 % in the dexamethasone group and 63 % in the saline group ( P < 0.001 ) . We conclude that dexamethasone 8 mg significantly decreased the incidence of nausea and vomiting after laparoscopic cholecystectomy
This approach has been design ed to provide adequate analgesia while minimizing exposure to adverse events
Background : Laparoscopic cholecystectomy has advantages over the open procedure for postoperative pain .
However , a systematic review of postoperative pain management in this procedure has not been conducted .