Current Management of Vomiting After Tonsillectomy in Children

Fujii, Yoshitaka

doi:10.2174/157488609787354413

Cited by 20 publications

(15 citation statements)

References 89 publications

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“…There have been several studies regarding acupuncture applications to relieve PONV in paediatric tonsillectomy and/or adenoidectomy cases with expectations of increased postoperative patient comfort and decreased antiemetic drug use (27). Schlager et al (28) reported that the laser acupuncture technique was effective in paediatric ocular surgery cases (strabismus) as witnessed by a decrease in the PONV rate from 85% to 25%.…”

Section: Discussionmentioning

confidence: 99%

Acupuncture as an Antiemetic in Children who Underwent Adenoidectomy and/or Tonsillectomy

Özmert¹,

Salman²,

Sever³

et al. 2016

Turk J Anaesth Reanim

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Amaç: Postoperatif kusma genel anestezi sonrasında en sık karşıla-şılan problemlerden biridir. Etiyolojide pek çok faktörün tek başı-na veya birlikte etkili olduğu bilinmektedir. Akupunktur, Dünya Sağlık Örgütünün tamamlayıcı tedavi metodu olarak kabul ettiği bir medikal tekniktir. Burada çocuk hastalarda adenoidektomi ve/ veya tonsillektomi sonrasında görülen kusmanın tedavisi amacıyla Akupunktur deneyimimiz sunulmaktadır.Yöntemler: Çalışmaya genel anestezi altında adenoidektomi ve/ veya tonsillektomi uygulanan, 2-14 yaş arasında, ASA I-II, (n=70) hastalar dahil edildi. Hastalar çalışma ve kontrol grubu olarak, rastgele iki gruba ayrıldılar. Çalışma grubunda, akupunktur iğnesi intraoperatif dönemde 20 dakika P6 noktasında uygulandı. Gruplara postoperatif dönemde antiemetik herhangi bir tedavi verilmedi. Hastalar postoperatif dönemde grupları bilmeyen hemşireler tarafında takip edildi. Bulgular: Yaş, cinsiyet, girişim türü, anestezi süresi, girişim süresi, cerrahi uygulama ve ASA skorları göz önüne alındığında gruplar arasında istatistiksel olarak anlamlı farklılık saptanmadı. Grupların kusma sayıları karşılaştırıldığında ise anlamlı farklılık olduğu saptandı. Akupunktur uygulanan grupta kusma sıklığının diğer gruba göre 0,28 kat daha az olduğu görüldü.Sonuç: Çalışmamızın sonuçları, akupunktur uygulamasının postoperatif kusmayı azaltmada açık bir etkinliği olduğunu gös-termektedir. Akupunkturun rutin kullanımı postoperatif hasta konforuna katkıda bulunmanın yanısıra tedavi veya profilaksi amacıyla ilaç kullanımını azaltacaktır.Anahtar kelimeler: Akupunktur, postoperatif kusma, adenoidektomi, tonsillektomi Objective: Postoperative vomiting (POV) is one of the most common problems following general anaesthesia, and many factors, either solely or in combination, may play a role in aetiology. Acupuncture is a technique that the World Health Organization has accepted as a complementary treatment. This study presents our experience with acupuncture for POV treatment in a study of paediatric tonsillectomy cases. Methods:The study included ASA I-II patients (n=70) aged 2-14 years who underwent tonsillectomy and/or adenoidectomy under general anaesthesia. The patients were randomly divided into the following two groups: control and study group. In the study group, an acupuncture needle was intraoperatively applied to the P6 acupuncture point for 20 min. Antiemetics were not administered to either group because of the standard applications in the preoperative period. The patients were postoperatively evaluated by nurses who were unaware about the techniques used in either group.Results: No statistically significant difference was determined between the groups with regard to age, sex, nature of the operation, duration of anaesthesia, duration of the operation, surgical method and ASA scores. A statistically significant difference was determined between the groups with respect to vomiting rates. The acupuncture group presented with 0.28-times fewer vomiting episodes than the control group. Conclusion:The results of the stud...

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Section: Discussionmentioning

confidence: 99%

Acupuncture as an Antiemetic in Children who Underwent Adenoidectomy and/or Tonsillectomy

Özmert¹,

Salman²,

Sever³

et al. 2016

Turk J Anaesth Reanim

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“…A retrospective study of ondansetron in the ED reported that 38% (n = 12,620) of prescriptions were for reasons other than gastroenteritis in the ED. 15 Other indications of ondansetron are post-operativem, [44][45][46] chemotherapy, radiotherapy, 47,48 sedation, 49 or during pregnancy. 50 Recently, ondansetron has been prescribed for brain-related diseases like obsessive-compulsive disorders 51 or drug/alcohol addictions, [52][53][54] suggesting that it may influence other symptoms than vomiting.…”

Section: Discussionmentioning

confidence: 99%

Ondansetron for pediatric concussion; a pilot study for a randomized controlled trial

Gravel

Carrière

D’Angelo

et al. 2016

CJEM

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Objectives: Assess the feasibility of a study evaluating one dose of oral ondansetron to decrease post-concussion symptoms at one week and one month following concussion in children aged 8 to 17 years old. Method: This was a pilot study for a randomized, triple-blind controlled trial of one dose of either ondansetron or placebo performed in a tertiary care pediatric emergency department. Participants were children aged 8 to 17 years who sustained a concussion in the previous 24 hours and visited a single emergency department. The outcome of interest was an increase from pre-concussion baseline of at least 3 symptoms from the Post-Concussion Symptom Inventory, measured at one week and at one month following concussion. The primary outcome was to determine the proportion of children who completed the assessment at one week following the intervention. Secondary outcome was the proportion of children who completed the assessment at one month following the intervention. All children, care givers, and those assessing the outcomes were blinded to the group assignment. Results: Of the 218 children presenting with a concussion during the study period, we screened 108 and found 36/108 (33%) eligible to participate and 16/108 (14.8%) agreed to participate. All enrolled patients were compliant with the intervention and follow-up. Conclusion: In our study population, approximately one-third of the screened concussion patients were eligible to participate and approximately one half of those eligible agreed to participate. Our study found that most enrolled patients preferred electronic follow-up; the noncompliance rate was minimal.

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“…Tras la pubertad el sexo disminuye un 13% por cada década de edad. El género no parece ser un factor de riesgo para la aparición de VPO en los niños, ya que hasta la pubertad no existen diferencias significativas entre niños y niñas (3,11,78). Un factor de riesgo específico es la ansiedad o el miedo al separarlos de los padres.…”

Section: Factores De Riesgounclassified

“…La pauta de profilaxis más conveniente será la que consiga una mayor reducción de aparición de VPO y menores efectos secundarios y a iguales porcentajes de reducción la que tenga el menor coste directo (77,78,80). Al igual que en los adultos, se sabe que es más eficaz la profilaxis con dos fármacos que con uno, de tal forma que si existe un riesgo igual o superior al 30% (Eberhart ≥ 2) se debe realizar profilaxis con dos fármacos.…”

Section: Profilaxis (Tabla Vi)unclassified

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Recomendaciones de prevención y tratamiento de las náuseas y vómitos postoperatorios y/o asociados a las infusiones de opioides

Gómez-Arnau

Aguilar

Bovaira

et al. 2010

Revista Española de Anestesiología y Reanimación

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Postoperative nausea and vomiting (PONV) causes patient discomfort, lowers patient satisfaction, and increases care requirements. Opioid-induced nausea and vomiting (OINV) may also occur if opioids are used to treat postoperative pain. These guidelines aim to provide recommendations for the prevention and treatment of both problems. A working group was established in accordance with the charter of the Sociedad Española de Anestesiología y Reanimación. The group undertook the critical appraisal of articles relevant to the management of PONV and OINV in adults and children early and late in the perioperative period. Discussions led to recommendations, summarized as follows: 1) Risk for PONV should be assessed in all patients undergoing surgery; 2 easy-to-use scales are useful for risk assessment: the Apfel scale for adults and the Eberhart scale for children. 2) Measures to reduce baseline risk should be used for adults at moderate or high risk and all children. 3) Pharmacologic prophylaxis with 1 drug is useful for patients at low risk (Apfel or Eberhart 1) who are to receive general anesthesia; patients with higher levels of risk should receive prophylaxis with 2 or more drugs and baseline risk should be reduced (multimodal approach). 4) Dexamethasone, droperidol, and ondansetron (or other setrons) have similar levels of efficacy; drug choice should be made based on individual patient factors. 5) The drug prescribed for treating Este trabajo ha sido financiado mediante la concesión de una subvención de ProStrakan Farmacéutica SL a la Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor.Aceptado para su publicación en agosto de 2010.Rev. Esp. Anestesiol. Reanim. 2010; 57: 508-524. Reproducido con permiso de REDAR.

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Current Management of Vomiting After Tonsillectomy in Children

Cited by 20 publications

References 89 publications

Acupuncture as an Antiemetic in Children who Underwent Adenoidectomy and/or Tonsillectomy

Acupuncture as an Antiemetic in Children who Underwent Adenoidectomy and/or Tonsillectomy

Ondansetron for pediatric concussion; a pilot study for a randomized controlled trial

Recomendaciones de prevención y tratamiento de las náuseas y vómitos postoperatorios y/o asociados a las infusiones de opioides

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