A Comparative Review between Propofol and Propofol plus Dexamethasone as Antiemetic During Cesarean Section under Spinal Anesthesia

Abstract

Background: Intraoperative nausea and vomiting (IONV) after caesarean section under spinal anaesthesia is a prevalent problem that might compromise patient safety and comfort. IONV must be effectively managed to optimise maternal and neonatal outcomes. Objectives: This study is to examine the most recent information regarding the management of intra-operative nausea and vomiting after Cesarean section under spinal anaesthesia using a combination of propofol and dexamethasone. Conclusions: Propofol plus dexamethasone can be considered as a preferred antiemetic strategy for cesarean section under spinal anesthesia. It offers superior efficacy in reducing IONV, which contributes to improved patient satisfaction. However, individual patient factors, contraindications, and known risks associated with dexamethasone should be taken into consideration.