Intrathecal Atropine to Prevent Postoperative Nausea and Vomiting

Intravenous Dexamethasone Combined With Intrathecal Atropine to Prevent Morphine-related Nausea and Vomiting After Cesarean Delivery: A Randomized Double-blinded Study

optimal postoperative pain control with intrathecal morphine, with proper prevention of postoperative nausea and vomiting. Dexamethasone, and or atropine could offer some protection against nausea and vomiting.

One of the gold standards for analgesia following cesarean delivery is intrathecal morphine, which is not devoid of complications namely postoperative nausea and vomiting. We evaluated the antiemetic effect of intravenous dexamethasone combined with intrathecal atropine after cesarean delivery under spinal bupivacaine plus morphine anesthesia.

Inclusion Criteria:

• females
• 18-40 years of age
• elective cesarean delivery under bupivacaine spinal anesthesia

Exclusion Criteria:

• renal disease
• preeclampsia
• liver disease
• cardiac disease
• Coagulopathy
• chronic cough
• nausea
• vomiting
• patient refusal