Skip to content

Steroids prevent nausea and vomiting after open gynaecological surgery, but do they harm the immune system?

The influence of antiemetic doses of dexamethasone on postoperative lymphocyte sub-populations after open gynaecological surgery

Status
Not yet recruiting
Phases
Unknown
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12608000497303
Enrollment
75
Registered
2008-09-30
Start date
2008-09-01
Completion date
Unknown
Last updated
2020-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

Postoperative nausea and vomiting remains a significant problem in modern anaesthetic practice. One of the most effective anti-sickness agents (antiemetics) available is a steroid drug: dexamethasone. Steroids are also used to supress the immune system and inflammation in the body. This immune supression can also predispose to the development of infection. We wish to investigate whether the small doses of dexamethasone used in anaesthesia affects the nature and function of important immune system cells known as lymphocytes.

Interventions

Dexamethasone 4 mg or 8 mg (as determined by randomisation sequence)given intravenously once at induction of anaesthesia

Sponsors

Professor Michael Paech
Lead SponsorIndividual

Study design

Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Prevention
Masking
Blinded (masking used)

Eligibility

Sex/Gender
All
Age
18 Years to 60 Years
Healthy volunteers
No

Inclusion criteria

Females undergoing open gynaecologic surgery American Society of Anesthesiologists (ASA) classification 1-3 patients

Exclusion criteria

Current drug therapy with antiemetic or systemic steroidal activity Known or suspected metastatic disease Recent treatment with chemotherapeutic agents Patients involving implants, such as mesh repairs Opioid-tolerance Hypertension Diabetes mellitus Peptic ulceration Intolerance to non-steroidal anti-inflammatory drugs Hypersensitivity to dexamethasone, granisetron or droperidol

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 4, 2026