Volume 17, Issue 1 (5-2026)
JAP 2026, 17(1): 1-12 |
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Ethics code: IR.ARUMS.REC.1399.232
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ghazi A, Entezari Asl M, Fekrat A. Effect of intravenous dexamethasone on prevention of complications of laryngeal mask airway in inguinal region surgery. JAP 2026; 17 (1) :1-12
URL: http://jap.iums.ac.ir/article-1-5813-en.html
URL: http://jap.iums.ac.ir/article-1-5813-en.html
1- Ardabil University of Medical Sciences , dr.ghaziahmad@gmail.com
2- Ardabil University of Medical Sciences
2- Ardabil University of Medical Sciences
Abstract: (16 Views)
Aims and background: In inguinal region surgeries, the most common anesthesia method is spinal anesthesia; however, in cases where this method is contraindicated, general anesthesia using a laryngeal mask airways (LMA) is administered. This study aimed to determine the effect of dexamethasone on preventing postoperative complications in patients undergoing general anesthesia with LMA.
Materials and Methods: This double-blind clinical trial included 140 patients scheduled for inguinal surgery under general anesthesia using a classic LMA. Participants were divided into two groups: the first group received 8 mg intravenous dexamethasone after general anesthesia, while the second group received 2 mL intravenous normal saline. Patients were assessed for complications (nausea, vomiting, sore throat, cough, and shivering) immediately after surgery, in the recovery room, and at 2 and 4 hours postoperatively. Data were recorded and analyzed.
Findings: Intravenous dexamethasone significantly reduced odynophagia, dyspnea, epigastric pain, nausea, vomiting, cough, sore throat, and shivering. Gender only affected sore throat, with a higher incidence in males (P=0.05). Odynophagia was more prevalent in herniorrhaphy compared to varicocelectomy (P=0.05).
Conclusion: Intravenous dexamethasone effectively prevents postoperative complications in patients undergoing inguinal surgeries under general anesthesia with LMA.
Materials and Methods: This double-blind clinical trial included 140 patients scheduled for inguinal surgery under general anesthesia using a classic LMA. Participants were divided into two groups: the first group received 8 mg intravenous dexamethasone after general anesthesia, while the second group received 2 mL intravenous normal saline. Patients were assessed for complications (nausea, vomiting, sore throat, cough, and shivering) immediately after surgery, in the recovery room, and at 2 and 4 hours postoperatively. Data were recorded and analyzed.
Findings: Intravenous dexamethasone significantly reduced odynophagia, dyspnea, epigastric pain, nausea, vomiting, cough, sore throat, and shivering. Gender only affected sore throat, with a higher incidence in males (P=0.05). Odynophagia was more prevalent in herniorrhaphy compared to varicocelectomy (P=0.05).
Conclusion: Intravenous dexamethasone effectively prevents postoperative complications in patients undergoing inguinal surgeries under general anesthesia with LMA.
Type of Study: Original |
Subject:
Airway management
Received: 2025.11.29 | Accepted: 2025.12.17 | Published: 2026.05.31
Received: 2025.11.29 | Accepted: 2025.12.17 | Published: 2026.05.31
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