The Use of an Anesthesia Information Management System for Prediction of Antiemetic Rescue Treatment at the Postanesthesia Care Unit

Jünger, Alexander; Hartmann, Bernd; Benson, Matthew A.; Schindler, Ehrenfried; Dietrich, G.; Jost, Andreas; Béye-Basse, Aida; G, Hempelmannn

doi:10.1097/00000539-200105000-00023

Cited by 100 publications

(68 citation statements)

References 21 publications

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“…25 Intraand postoperative use of intravenous opioids increase the risk of PONV. 26,27 In contrast, a single intrathecal administration of fentanyl does not increase the frequency of PONV. 28,29 The frequency of PONV was similar in the two groups in the present study, although opioid was used intraoperatively in the experimental group.…”

Section: Discussionmentioning

confidence: 97%

Clinical effects of intrathecal fentanyl on shoulder tip pain in laparoscopic total extraperitoneal inguinal hernia repair under spinal anaesthesia: A double-blind, prospective, randomized controlled trial

et al. 2013

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Objective: The study evaluated the clinical intraoperative effects of intrathecal administration of fentanyl on shoulder tip pain in patients undergoing laparoscopic total extraperitoneal inguinal hernia repair (TEP) under spinal anaesthesia. Methods: Patients undergoing TEP were allocated in a double-blinded, prospective, randomized manner to two groups. Spinal anaesthesia was induced by intrathecal administration of 2.8 ml of 0.5% hyperbaric bupivacaine (14 mg) in the control group and with 2.6 ml of 0.5% hyperbaric bupivacaine (13 mg) and 10 mg fentanyl (0.2 ml) in the experimental group.Results: The quality of muscle relaxation, adequacy of operative space and incidence of pneumoperitoneum were similar in the two groups (n ¼ 36 per group). Compared with the control group, the experimental group had significantly fewer cases of hypotension (12 [

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Section: Discussionmentioning

confidence: 97%

Clinical effects of intrathecal fentanyl on shoulder tip pain in laparoscopic total extraperitoneal inguinal hernia repair under spinal anaesthesia: A double-blind, prospective, randomized controlled trial

et al. 2013

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“…Postoperative nausea and vomiting have been associated for many years with the use of general anaesthetics for surgical procedures 5,10 The incidence of PONV is approximately 9% to 10% during the stay in the post anaesthesia care unit and increases to 30% during the first 24 hours postoperatively, leading to delayed discharge or, rarely, serious complications 11 . There are hundreds of published randomized controlled trials investigating the efficacy of interventions which are thought to have impact on the incidence of PONV.…”

Section: Discussionmentioning

confidence: 99%

Ni̇tröz Oksi̇di̇n Postoperati̇f Bulanti Ve Kusma Üzeri̇ne Etki̇si̇

Türe

Takıl

Etı

et al. 2015

Marmara Medical Journal

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Objective: Postoperative nausea and vomiting (PONV) is a common problem and its cause is multifactorial. The relationship between PONV and nitrous oxide is under debate. The aim of this study was to evaluate the relationship between nitrous oxide and PONV in patients undergoing laparoscopic cholecystectomy. Patients and Methods: Forty premedicated female patients, ASA I or II, age 18-60 years and weigthing between 50-80 kg, were scheduled to undergo elective laparoscopic cholecystectomy. They were randomly assigned to two groups. Anaesthesia was induced in all patients with thiopental sodium, remifentanil and atracurium. Anaesthesia was maintained with sevoflurane, nitrous oxide in oxygen in group I and sevoflurane, air in oxygen in group II. Perioperatively remifentanil was infused in all patients. The patient's PONV and pain scores were assessed 24 hours postoperatively. Results: In group I, PONV scores were significantly higher at the 1st and 4 th h postoperatively, however, there was no significant difference in group II. There was no significant difference in PONV and pain scores and the percentage of patients needing antiemetics between groups. No correlation was found between PONV and postoperative pain. Conclusion: Our data demonstrate that nitrous oxide does not increase the incidence or severity of PONV in patients undergoing laparoscopic cholecystectomy.

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“…The use of volatile anesthetics, nitrous oxide 25 and intra/post-operative opioids are risk factors related to anaesthesia. 26,27 One component we could influence was the choice of anesthesia. Epidural anesthesia was used in FTS group to exclude the effect from volatile components.…”

Section: Postoperative Datamentioning

confidence: 99%

Fast-track protocols in devascularization for cirrhotic portal hypertension

Yang

Zong

Chen

et al. 2015

Rev. Assoc. Med. Bras.

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Conflict of interest: none Introduction/objective: fast-tract surgery (FTS) has been rapidly embraced by surgeons as a mechanism for improving patient care and driving down complications and costs. The aim of this study was to determine if any improvement in outcomes occurred after FTS protocol for selective double portazygous disconnection with preserving vagus (SDPDPV) compared with non-FTS postoperative care. Methods: patients eligible for SDPDPV in the period January 2012-April 2014 were randomly selected for the FTS group or non-FTS group. A designed protocol was used in the FTS group with emphasis on an interdisciplinary approach. The non-FTS group was treated using previously established standard procedures. The number of postoperative complications, time of functional recovery and duration of hospital stay were recorded. Results: patients in the FTS group (n=59) and non-FTS group (n=57) did not differ in terms of preoperative data and operative details (p>0.05). The FTS procedure led to significantly better control and faster restoration of gastrointestinal functions, food tolerance, rehabilitation and hospital discharge (p<0.05). Postoperative complications, including nausea/vomiting, severe ascites, wound infection, urinary tract infection and pulmonary infection were all significantly lower in the FTS group (p<0.05). According to the postoperative morbidity classification used by Clavien, overall complications and grade I complications were both significantly lower in the FTS group compared with the non-FTS group (p<0.05). Conclusion: adopting the FTS protocol helped to recover gastrointestinal functions, to reduce frequency of postoperative complications and to reduce hospital stay. The FTS strategy is safe and effective in improving postoperative outcomes.

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The Use of an Anesthesia Information Management System for Prediction of Antiemetic Rescue Treatment at the Postanesthesia Care Unit

Cited by 100 publications

References 21 publications

Clinical effects of intrathecal fentanyl on shoulder tip pain in laparoscopic total extraperitoneal inguinal hernia repair under spinal anaesthesia: A double-blind, prospective, randomized controlled trial

Clinical effects of intrathecal fentanyl on shoulder tip pain in laparoscopic total extraperitoneal inguinal hernia repair under spinal anaesthesia: A double-blind, prospective, randomized controlled trial

Ni̇tröz Oksi̇di̇n Postoperati̇f Bulanti Ve Kusma Üzeri̇ne Etki̇si̇

Fast-track protocols in devascularization for cirrhotic portal hypertension

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