Perioperative Dexamethasone

CA-1 · II.D.1.a.3.b.4 I.B.7.d.2 I.B.3.c.8

30Sources
6Kept
0Dropped

1 · Find evidence

PubMed query

Every result is a real PMID returned by NCBI. Nothing on this step is generated.

Ask OpenEvidence ↗

OpenEvidence opens in your own logged-in session with the question filled in. Nothing is fetched on your behalf — read it there, then add what you want to teach as a point below, citing the source it came from.

30 candidate papers

Ticked papers are the ones a deck may be built from. Unticking one needs a reason — the citation gate proves a paper exists, and nothing but you decides whether it should be taught. A tier badge appears where the paper’s publication type is known.

Same-day build

PubMed query

Runs the tiered searches, drafts one point per included paper, runs the citation gate and builds a draft deck — the steps below, unattended. Same-day build — drafted locally (medgemma:27b), confirmed against each abstract. The deck still lands in draft: nothing here approves anything.

2 · Teaching points

Source

A point with no source will not survive the gate. That is the point of the gate.

6 points

For analgesia rather than antiemesis the dose matters: doses above 0.1 mg/kg reduced pain and opioid consumption, low doses did not, and preoperative administration gave a more consistent effect than intraoperative. PMID 21799397 kept
High-dose dexamethasone at 1 mg/kg in cardiac surgery did not reduce 30-day major adverse events (7.0% versus 8.5%); it lowered infection and ventilation time but raised postoperative glucose. PMID 23117776 kept
In 2,628 breast cancer operations, a single perioperative dexamethasone dose was not associated with increased recurrence or mortality on propensity-matched analysis. PMID 30894164 kept
Pooled across 60 trials, 4-5 mg of dexamethasone reduced 24-hour nausea and vomiting as effectively as 8-10 mg, supporting the lower SAMBA-recommended dose. PMID 23223115 kept
In PADDI, 8 mg of dexamethasone was noninferior to placebo for surgical-site infection at 30 days (8.1% versus 9.1%), including in patients with diabetes, while cutting nausea and vomiting from 53.9% to 42.2%. PMID 33951362 kept
Among 30,561 oncologic resections, dexamethasone was associated with lower 1-year mortality and better recurrence-free survival, while doses above 0.09 mg/kg raised hyperglycaemia without raising surgical-site infection. PMID 35837889 kept

Checks every citation against PubMed, the DOI resolver, or a live fetch. Points that do not resolve are dropped and shown to you with the reason — never quietly softened.

4 · Build the deck

Oral boards stem — optional

Decks

Deck 7e6e373a draft
5 · Question bank

Oral boards prompts for you

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