BMJ : British medical journal
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Randomized Controlled Trial Multicenter Study
Dexamethasone versus standard treatment for postoperative nausea and vomiting in gastrointestinal surgery: randomised controlled trial (DREAMS Trial).
Objectives To determine whether preoperative dexamethasone reduces postoperative vomiting in patients undergoing elective bowel surgery and whether it is associated with other measurable benefits during recovery from surgery, including quicker return to oral diet and reduced length of stay. Design Pragmatic two arm parallel group randomised trial with blinded postoperative care and outcome assessment. ⋯ Interventions Addition of a single dose of 8 mg intravenous dexamethasone at induction of anaesthesia compared with standard care. Main outcome measures Primary outcome: reported vomiting within 24 hours reported by patient or clinician.
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Randomized Controlled Trial
Faster clean catch urine collection (Quick-Wee method) from infants: randomised controlled trial.
Objective To determine if a simple stimulation method increases the rate of infant voiding for clean catch urine within five minutes. Design Randomised controlled trial. Setting Emergency department of a tertiary paediatric hospital, Australia. ⋯ The number needed to treat was 4.7 (95% confidence interval 3.4 to 7.7) to successfully collect one additional urine sample within five minutes using Quick-Wee compared with standard clean catch urine. Conclusions Quick-Wee is a simple cutaneous stimulation method that significantly increases the five minute voiding and success rate of clean catch urine collection. Trial registration Australian New Zealand Clinical Trials Registry ACTRN12615000754549.