COMPARATIVE TRIAL OF COMBINED METOCLOPRAMIDE AND DEXAMETHASONE VERSUS DEXAMETHASONE IN POSTOPERATIVE NAUSEA AND VOMITING IN GYNAECOLOGICAL SURGERY

Abstract

Metoclopramide is a drug that has been used in the dose of 10 mg iv for postoperative nausea and vomiting (PONV) prophylaxis for many years and has been reported to be ineffective at this dose. That a higher dose of this drug, when used in combination with 8 mg dexamethasone, is more effective when compared with 8 mg dexamethasone only is worth validating and this study was designed to do. The aim is to compare the effectiveness of adding 50 mg metoclopramide (in two divided doses) to 8 mg intravenous dose of dexamethasone versus 8 mg dexamethasone only as a prophylactic anti-emetic in gynaecological surgery under spinal anaesthesia at University of Ilorin Teaching Hospital, Ilorin

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