Uses of Dexamethasone Tablets:
Use this medicine dexamethasone tablets as ordered by your doctor. All material available on eHealthMe. However, we feel that Hans' conclusion is not entirely justified by the data that are presented.
Heparin stimulates lipoproteinlipase in vivo leading to an increase in free fatty acids, which subsequently impair glucose utilization by the so-called Randle mechanism 5.
The time at which peak blood glucose concentrations occur after intraoperative dexamethasone administration has not been clearly established in previous investigations. Dexamethasone prevents postoperative nausea and vomiting but may increase blood glucose. Basically we agree with the majority of concerns they addressed regarding missing data and their potential implications either on perioperative blood glucose levels or on the mechanisms of their disturbances. The study is based on active ingredients and brand name.
Episodes of postoperative nausea and vomiting were treated with additional ondansetron 4 mg. Intraoperative anesthetic management was standardized in all study groups, and no differences were noted in any measured variables. Published ahead of print December 2, Funding: Dexamethasone has already been reported to produce significantly larger increases in blood glucose concentrations in non-diabetic patients undergoing elective craniotomy.
Systemic inflammatory response predicts outcome in patients undergoing resection for ductal adenocarcinoma head of pancreas. Sign In or Create an Account. Total doses of hydromorphone required to provide acceptable analgesia during the admission were noted. In our study, we addressed this issue by looking at the CRP level measured in all patients the day after surgery and failed to find any difference between groups.
In an attempt to answer their comments, we have to mention that non- bariatric laparoscopies were performed for cholecystectomies and gynaecological surgery.
Scientific principles and clinical implications of perioperative glucose regulation and control. Other drugs that have the same active ingredients e. Address correspondence to Glenn S.
Occasionally the pain ia bearable, mostly not. Generate a file for use with external citation management software. Notwithstanding the lack of control groups and the fact that the diabetic patients had a significantly greater body mass index than non-diabetic subjects, which per se can explain the small difference in glycemia, the manuscript by Hans does not provide certain information concerning patient characteristics and study design that are pertinent for the understanding of perioperative glucose metabolism.
Since elevations in the blood glucose concentration should be avoided in the setting of central nervous system ischemia, findings from this investigation suggest that contemplated corticosteroid use should be reviewed for appropriateness of treatment. Treatment with insulin of increased blood glucose concentrations based on formal laboratory testing was at the discretion of the surgical service.
No differences were observed between groups in the times required to meet PACU discharge criteria and achieve actual discharge.