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Pregled bibliografske jedinice broj: 357415

Comparison of dexamethasone, metoclopramide and their combination in the prevention of postoperative nausea and vomiting after laparoscopic cholecystectomy, Surg Endosc 2007 ; 21:607-12.


Nesek-Adam, Višnja; Grizelj-Stojčić, Elvira; Rašić, Žarko; Čala, Zoran; Mršić, Vivijan; Smiljanić, Aleksandra
Comparison of dexamethasone, metoclopramide and their combination in the prevention of postoperative nausea and vomiting after laparoscopic cholecystectomy, Surg Endosc 2007 ; 21:607-12. // Surgical Endoscopy, 21 (2007), 4; 607-612 doi:10.1007/s00464-006-9122-7 (međunarodna recenzija, članak, znanstveni)


CROSBI ID: 357415 Za ispravke kontaktirajte CROSBI podršku putem web obrasca

Naslov
Comparison of dexamethasone, metoclopramide and their combination in the prevention of postoperative nausea and vomiting after laparoscopic cholecystectomy, Surg Endosc 2007 ; 21:607-12.
(Comparison of dexamethasone, metoclopramide and their combination in the prevention of postoperative nausea and vomiting after laparoscopic cholecystectomy)

Autori
Nesek-Adam, Višnja ; Grizelj-Stojčić, Elvira ; Rašić, Žarko ; Čala, Zoran ; Mršić, Vivijan ; Smiljanić, Aleksandra

Izvornik
Surgical Endoscopy (0930-2795) 21 (2007), 4; 607-612

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
laparoscopic cholecystectomy ; postoperative nausea and vomiting ; dexamethasone ; metoclopramide

Sažetak
Background: Postoperative nausea and vomiting (PONV) are one of the most common complaints following anesthesia and surgery. This study was designed to evaluate the efficacy of dexamethasone, metoclopramide and their combination to prevent PONV in patients undergoing laparoscopic cholecystectomy. Methods: One-hundred and sixty ASA physical status I and II patients were included in this randomized, double blind, placebo-controlled study. Patients were randomly assigned to 4 groups (n=40 each): group 1 consisting of control patients administered 0.9% NaCl ; group 2 patients received metoclopramide 10 mg just before the end of anesthesia ; group 3 patients received dexamethasone 8 mg after the induction of anesthesia ; and group 4 patients received dexamethasone 8 mg after the induction of anesthesia and metoclopramide 10 mg before the end of anesthesia. The incidence of PONV, mean visual analogue pain scores at rest and on movement, time to the first request for analgesia, side effects, and well-being score were recorded during the first 24 h postoperatively. Results: Data were analyzed using one-way analysis of variance (ANOVA) and χ 2 test, with p<0.05 considered statistically significant. The total incidence of PONV was 60% with placebo, 45% with metoclopramide, 23% with dexamethasone, and 13% with the combination of dexamethasone plus metoclopramide. None of the dexamethasone plus metoclopramide group patients (p<0.05 vs groups 1 and 2) and one dexamethasone group patient (p<0.05 vs group 1) required antiemetic rescue, as compared with four patients in the metoclopramide group and six patients in the placebo group. Pain scores, the time to the first request for analgesia, and side effects were similar across the study groups. Conclusion: Dexamethasone and the combination of dexamethasone plus metoclopramide were more effective in preventing PONV than metoclopramide and placebo.

Izvorni jezik
Engleski

Znanstvena područja
Biologija



POVEZANOST RADA


Projekt / tema
0129122

Ustanove
Klinička bolnica "Sveti Duh"

Profili:

Avatar Url Zoran Čala (autor)

Avatar Url Žarko Rašić (autor)

Avatar Url Višnja Nesek Adam (autor)

Citiraj ovu publikaciju

Nesek-Adam, Višnja; Grizelj-Stojčić, Elvira; Rašić, Žarko; Čala, Zoran; Mršić, Vivijan; Smiljanić, Aleksandra
Comparison of dexamethasone, metoclopramide and their combination in the prevention of postoperative nausea and vomiting after laparoscopic cholecystectomy, Surg Endosc 2007 ; 21:607-12. // Surgical Endoscopy, 21 (2007), 4; 607-612 doi:10.1007/s00464-006-9122-7 (međunarodna recenzija, članak, znanstveni)
Nesek-Adam, V., Grizelj-Stojčić, E., Rašić, Ž., Čala, Z., Mršić, V. & Smiljanić, A. (2007) Comparison of dexamethasone, metoclopramide and their combination in the prevention of postoperative nausea and vomiting after laparoscopic cholecystectomy, Surg Endosc 2007 ; 21:607-12.. Surgical Endoscopy, 21 (4), 607-612 doi:10.1007/s00464-006-9122-7.
@article{article, year = {2007}, pages = {607-612}, DOI = {10.1007/s00464-006-9122-7}, keywords = {laparoscopic cholecystectomy, postoperative nausea and vomiting, dexamethasone, metoclopramide}, journal = {Surgical Endoscopy}, doi = {10.1007/s00464-006-9122-7}, volume = {21}, number = {4}, issn = {0930-2795}, title = {Comparison of dexamethasone, metoclopramide and their combination in the prevention of postoperative nausea and vomiting after laparoscopic cholecystectomy}, keyword = {laparoscopic cholecystectomy, postoperative nausea and vomiting, dexamethasone, metoclopramide} }

Časopis indeksira:


  • Current Contents Connect (CCC)
  • Web of Science Core Collection (WoSCC)
    • SCI-EXP, SSCI i/ili A&HCI


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