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Cortés-Flores AO, Jiménez-Tornero J, Morgan-Villela G, Delgado-Gómez M, Zuloaga-Fernández Del Valle CJ, García-Rentería J, Rendón-Félix J, Fuentes-Orozco C, Macías-Amezcua MD, Ambriz-González G, Alvarez-Villaseñor AS, Urias-Valdez D, Chavez-Tostado M, Contreras-Hernández GI, González-Ojeda A. Effects of preoperative dexamethasone on postoperative pain, nausea, vomiting and respiratory function in women undergoing conservative breast surgery for cancer: Results of a controlled clinical trial. Eur J Cancer Care (Engl) 2017; 27. [PMID: 28474341 DOI: 10.1111/ecc.12686] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/03/2017] [Indexed: 01/28/2023]
Abstract
The objective was to evaluate whether preoperative administration of dexamethasone improved postoperative nausea and vomiting (PONV), pain and respiratory function tests in women undergoing conservative surgery for breast cancer. This was a controlled clinical trial conducted between June 2013 and October 2014. Eighty patients were evaluated. Patients received a preoperative dose of 8 mg of dexamethasone (n = 40) or placebo (n = 40). The data on PONV and pain intensity was obtained and forced spirometry tests were performed, 1 hr before and at 1, 6, 12 and 24 hr after surgery. Any use of additional analgesic/antiemetic drugs was recorded. Patients were followed until 30 days after surgery for any surgical or medical complications. The pain intensity was lower in the treatment group for all periods; PONV was lower at 6, 12 and 24 hr; Additional analgesics/antiemetics were required less frequently (all p < .05). Both groups exhibited a restrictive ventilatory pattern immediately after surgery, which was reversed in the following hours. However, spirometric values were higher in the dexamethasone group. There were no pulmonary or metabolic complications after surgery. Our conclusions were that dexamethasone significantly reduced the incidences of PONV, pain and improved respiratory parameters, and reduced the need for additional postoperative analgesic and antiemetic drugs.
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Affiliation(s)
- A O Cortés-Flores
- Biomedical Research Unit 02, Specialities Hospital of the Western National Medical Center, Mexican Institute of Social Security, Guadalajara, Mexico.,Oncology Unit, ONKOS, Guadalajara, Mexico
| | | | | | | | | | - J García-Rentería
- Biomedical Research Unit 02, Specialities Hospital of the Western National Medical Center, Mexican Institute of Social Security, Guadalajara, Mexico
| | - J Rendón-Félix
- Biomedical Research Unit 02, Specialities Hospital of the Western National Medical Center, Mexican Institute of Social Security, Guadalajara, Mexico
| | - C Fuentes-Orozco
- Biomedical Research Unit 02, Specialities Hospital of the Western National Medical Center, Mexican Institute of Social Security, Guadalajara, Mexico
| | - M D Macías-Amezcua
- Biomedical Research Unit 02, Specialities Hospital of the Western National Medical Center, Mexican Institute of Social Security, Guadalajara, Mexico
| | - G Ambriz-González
- Biomedical Research Unit 02, Specialities Hospital of the Western National Medical Center, Mexican Institute of Social Security, Guadalajara, Mexico
| | - A S Alvarez-Villaseñor
- Biomedical Research Unit 02, Specialities Hospital of the Western National Medical Center, Mexican Institute of Social Security, Guadalajara, Mexico
| | - D Urias-Valdez
- Biomedical Research Unit 02, Specialities Hospital of the Western National Medical Center, Mexican Institute of Social Security, Guadalajara, Mexico
| | - M Chavez-Tostado
- Biomedical Research Unit 02, Specialities Hospital of the Western National Medical Center, Mexican Institute of Social Security, Guadalajara, Mexico
| | - G I Contreras-Hernández
- Biomedical Research Unit 02, Specialities Hospital of the Western National Medical Center, Mexican Institute of Social Security, Guadalajara, Mexico
| | - A González-Ojeda
- Biomedical Research Unit 02, Specialities Hospital of the Western National Medical Center, Mexican Institute of Social Security, Guadalajara, Mexico
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Vargas-Meza A, Chavez-Tostado M, Cortes-Flores A, Urias-Valdez D, Delgado-Gomez M, Morgan-Villela G, Zuloaga-Fernandez Del Valle C, Jimenez-Tornero J, Zuloaga-Fernandez Del Valle R, Fuentes-Orozco C, García-Rentería J, Rendón-Félix J, Cuesta-Márquez L, Gonzalez-Ojeda A. Body weight changes after adjuvant chemotherapy of patients with breast cancer: results of a Mexican cohort study. Eur J Cancer Care (Engl) 2016; 26. [DOI: 10.1111/ecc.12550] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/10/2016] [Indexed: 01/31/2023]
Affiliation(s)
| | - M. Chavez-Tostado
- Research Unit in Clinical Epidemiology; Specialties Hospital of the Western National Medical Center; Mexican Institute of Social Security; Guadalajara Mexico
| | | | | | | | | | | | | | | | - C. Fuentes-Orozco
- Research Unit in Clinical Epidemiology; Specialties Hospital of the Western National Medical Center; Mexican Institute of Social Security; Guadalajara Mexico
| | - J. García-Rentería
- Research Unit in Clinical Epidemiology; Specialties Hospital of the Western National Medical Center; Mexican Institute of Social Security; Guadalajara Mexico
| | - J. Rendón-Félix
- Research Unit in Clinical Epidemiology; Specialties Hospital of the Western National Medical Center; Mexican Institute of Social Security; Guadalajara Mexico
| | - L. Cuesta-Márquez
- Research Unit in Clinical Epidemiology; Specialties Hospital of the Western National Medical Center; Mexican Institute of Social Security; Guadalajara Mexico
| | - A. Gonzalez-Ojeda
- Research Unit in Clinical Epidemiology; Specialties Hospital of the Western National Medical Center; Mexican Institute of Social Security; Guadalajara Mexico
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