Patients in the Dexamethasone arm will be administered the drug at the time of induction.

The placebo arm patients will receive normal saline at the time of induction.

Patients in the Dexamethasone arm will be administered the drug at the time of induction.
Dexamethasone: Patients will be randomized to Dexamethasone arm will receive 8mg (2ml) of Dexamethasone at the time of induction.

Dexamethasone

The placebo arm patients will receive normal saline at the time of induction.
Normal saline: Patients randomized to normal saline will receive 2ml of Normal saline at the time of induction.

Normal Saline

Total

Sex: Female, Male

Ethnicity (NIH/OMB)

Region of Enrollment

Body Mass Index

The primary aim is to evaluate whether standard administration of Dexamethasone at the time of anesthesia induction in patients undergoing vaginal reconstructive surgery would result in improved Quality of Recovery. The QoR-40 has 40 items that consider early postoperative health status of patients. These items cover five dimensions including emotional state (9 items), physical comfort (12 items), patient support (7 items), physical independence (5 items) and pain (7 items). All items are rated on a five-point Likert scale from one (worst) to five (best). All negative items were reversed to ease the interpretation. The total score (global score) was computed by summing all items. The minimum and maximum possible scores were 40 and 200, respectively.

Questionnaire: Quality of Recovery 40

Patients will be administered a postoperative nausea, vomiting scale. The "Post Operative Nausea Scale" ranges from 0 to 77, where lower scores are improved outcomes.

Nausea, Vomiting

Urinary Tract Infections

Any patient that is re-admitted to the hospital and the reason for re-admission will be collected.

Readmissions

numerical pain scale ranges from 0 to 10, where lower scores represent less pain.

Pain Level

Overall Study

Dr. David Ossin

Quality of Recovery

Same Day Surgery

Nausea and Vomiting, Postoperative

Vaginal Prolapse

The surgeries that are performed are only vaginal prolapse surgeries in a female pelvic medicine and reconstructive surgery department.

Patients will be randomized to Dexamethasone arm will receive 8mg (2ml) of Dexamethasone at the time of induction.

Patients randomized to normal saline will receive 2ml of Normal saline at the time of induction.

uterine prolapse/nausea

Dexamethasone Administration To Improve Patient Recovery In Ambulatory Vaginal Prolapse Surgery: Is There A Role?

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