Curr Opin Anaesthesiol. 2010 Dec;23(6):682-6. doi: 10.1097/ACO.0b013e32833ff302.
Pain, emesis, and fatigue are not uncommon symptoms after ambulatory surgery having impact on patients' satisfaction with quality of care. Multimodal management of postoperative pain and nausea and vomiting has become standard of care.
There is a growing body of evidence for the beneficial effects from preoperative single-dose intravenous (i.v.) glucocorticoids for reducing pain, emesis, and fatigue, thereby improving the recovery process and patient satisfaction. Side-effects are infrequently reported.
The benefits versus risk associated to single preoperative i.v. dose of dexamethasone seem positive based on current evidence facilitating the recovery reducing pain and postoperative nausea and vomiting.
疼痛、恶心和疲劳在门诊手术后并不少见，会影响患者对护理质量的满意度。多模式管理术后疼痛、恶心和呕吐已成为常规治疗。
越来越多的证据表明，术前单次静脉（i.v.）给予糖皮质激素可减轻疼痛、恶心和疲劳，从而改善恢复过程和患者满意度。副作用很少见。
基于目前的证据，单次术前静脉给予地塞米松的益处大于风险，有利于促进恢复、减轻疼痛和术后恶心呕吐。
