{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:29:39Z","timestamp":1787758179379,"version":"build-2784847793"},"reference-count":21,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Postoperative nausea and vomiting (PONV) are one of the common distressing conditions after anesthesia. The PONV are related to several potential risk factors are patient related, anesthesia related, and surgery related. In surgery-related risk, middle ear surgery is associated with a high incidence of PONV.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims:<\/jats:title>\n                    <jats:p>This study aimed to compare the efficiency of palonosetron versus palonosetron with dexamethasone in the prevention of PONV in middle ear surgeries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Settings and Design:<\/jats:title>\n                    <jats:p>This was a prospective, randomized, double-blind study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Statistical Analysis:<\/jats:title>\n                    <jats:p>\n                      The data were presented as descriptive statistics for continuous variables and percentages for categorical variables and were subjected to Z-test\/Chi-square test\/Fisher's exact test. The value of\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.05 was considered statistically significant.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Demographic parts in comparison to age, duration of surgery, and duration of anesthesia were similar in both the groups. Our study showed that the incidence of PONV during 0\u20136 h was 38% (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 19) in Group A and 12% (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 6) in Group B and the incidence during 6\u201312 h postoperatively was 14% (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 7) in Group A and 8% (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 4) in Group B. During 12\u201324 h, the incidence was 8% (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 4) and 6% (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 3) in Group A and B, respectively. Hence, the difference of total early PONV in Group A was 60% (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 30) and in Group B, it was 26% (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 13) which was statistically significant (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.03).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The above result proves that palonosetron and dexamethasone group is superior in the prevention of PONV in middle ear surgery.<\/jats:p>\n                  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