The Effectivity of Ondansetron and Dexamethasone Combination as Post-Operative Nausea and Vomiting (PONV) Prophylaxis after Total Abdominal Hysterectomy and Bilateral Salpingo-Oophorectomy (TAH-BSO) Procedure at Mangusada General Hospital, Bali, IndonesiaJournal: International Journal of Science and Research (IJSR) (Vol.11, No. 2)
Publication Date: 2022-02-05
Authors : Putu Bagus Gin Gin Pramana; Made Adi Kusuma;
Page : 723-725
Keywords : PONV; dexamethasone; ondansetron; TAH-BSO;
Introduction: Post-operative nausea and vomiting (PONV) can be a devastating and traumatizing condition following a surgery. Risk stratification and proper prophylactic management are required to prevent PONV, particularly in high-risk patients. Case Report: A 46-year-old female with ASA II and simplified Apfel score of 3 underwent a total abdominal hysterectomy and bilateral salpingo-oophorectomy (TAH-BSO) under spinal anesthesia.4 mg of ondansetron and 5 mg of dexamethasone were administered at induction. After the procedure, the patient went stable and moved to be treated at the ward for 3 days. No nausea and vomiting were observed until the patient was discharged. Conclusion: In this case report, the combination of ondansetron and dexamethasone were sufficient to prevent PONV after TAH-BSO procedure.
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