The effects of amounts of intraoperative intravenous fluid administration on postoperative nausea and vomiting during gynecological surgery

Introduction. Postoperative nausea and vomiting (PONV) after laparoscopic cholecystectomy operations still continue to be a serious problem. Intravenous fluid administration has been shown to reduce PONV. Some patients have higher risk for PONV described by APFEL score. In this study, our aim was to determine the effects of preoperative intravenous hydration on postoperative nausea and vomiting in high Apfel scored patients undergoing laparoscopic cholecystectomy surgery.Patients and Methods. This study is performed with 50 female patients who had APFEL score 3-4 after ethics committee approval and informed consent was taken from patients. The patients were divided into 2 groups: group 1 (P1): propofol + preoperative hydration and group 2 (P2): propofol + no preoperative hydration.Results. When the total nausea VAS scores of groups P1and P2to which hydration was given or not given were compared, a statistically significant difference was detected at 8th and 12th hours (P=0.001andP=0.041). It was observed that in group P1, which was given hydration, the nausea VAS score was lower. When the total number of patients who had nausea and vomiting in P1and P2, more patients suffered nausea in P2group.Discussion. Preoperative hydration may be effective in high Apfel scored patients to prevent postoperative nausea.

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A prospective randomized blinded study of the effect of intravenous fluid therapy on postoperative nausea and vomiting in children undergoing strabismus surgery

Pediatric Anesthesia ◽

10.1111/j.1460-9592.2005.01693.x ◽

2006 ◽

Vol 16 (1) ◽

pp. 49-53 ◽

Cited By ~ 44

Author(s):

MASHALLAH GOODARZI ◽

MARLA M. MATAR ◽

MARK SHAFA ◽

JANICE E. TOWNSEND ◽

ISAAC GONZALEZ

Keyword(s):

Fluid Therapy ◽

Postoperative Nausea ◽

Postoperative Nausea And Vomiting ◽

Strabismus Surgery ◽

Intravenous Fluid ◽

Nausea And Vomiting ◽

Intravenous Fluid Therapy ◽

Blinded Study

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Effects of dexamethasone and droperidol on postoperative nausea and vomiting (PONV) after laparoscopic gynecological surgery

JAPANESE JOURNAL OF GYNECOLOGIC AND OBSTETRIC ENDOSCOPY ◽

10.5180/jsgoe.35.2_224 ◽

2019 ◽

Vol 35 (2) ◽

pp. 224-230

Author(s):

Takako Kusanishi ◽

Nobuhisa Honda ◽

Shoko Sano ◽

Kayoko Furukawa

Keyword(s):

Postoperative Nausea ◽

Postoperative Nausea And Vomiting ◽

Nausea And Vomiting ◽

Gynecological Surgery

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The effects of continuous infusion of ondansetron on postoperative nausea and vomiting in patients receiving IV-patient controlled analgesia following gynecological surgery

Korean Journal of Anesthesiology ◽

10.4097/kjae.2008.55.2.176 ◽

2008 ◽

Vol 55 (2) ◽

pp. 176 ◽

Cited By ~ 1

Author(s):

Seung Mo Lim ◽

Jin-Yun Kim ◽

Hyun Kang ◽

Chong Wha Baek ◽

Jung Won Park ◽

...

Keyword(s):

Continuous Infusion ◽

Postoperative Nausea ◽

Postoperative Nausea And Vomiting ◽

Nausea And Vomiting ◽

Gynecological Surgery ◽

Patient Controlled Analgesia

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Preoperative Fasting Abbreviation and its Effects on Postoperative Nausea and Vomiting Incidence in Gynecological Surgery Patients

Revista Brasileira de Ginecologia e Obstetrícia / RBGO Gynecology and Obstetrics ◽

10.1055/s-0040-1712994 ◽

2020 ◽

Vol 42 (08) ◽

pp. 468-475

Author(s):

Gisele Vissoci Marquini ◽

Francisco Edes da Silva Pinheiro ◽

Alfredo Urbano da Costa Vieira ◽

Rogério Melo da Costa Pinto ◽

Maria Gabriela Baumgarten Kuster Uyeda ◽

...

Keyword(s):

At Risk ◽

Postoperative Nausea ◽

Randomized Study ◽

Postoperative Nausea And Vomiting ◽

Nausea And Vomiting ◽

Control Group ◽

Gynecological Surgery ◽

Preoperative Fasting ◽

Double Blind ◽

Significant Difference

Abstract Objective To investigate the effects of preoperative fasting abbreviation with a carbohydrate and protein-enriched solution, on postoperative nausea and vomiting (PONV) incidence in gynecological surgery patients, a population naturally at risk for such unpleasant episodes. Methods The present prospective double-blind randomized study was performed at The Hospital Municipal e Maternidade Dr. Odelmo Leão Carneiro (HMMOLC, in the Portuguese acronym), in Uberlândia, state of Minas Gerais, Brazil, in partnership with the Gynecology Department of the Universidade Federal de São Paulo (UNIFESP), approved by the Human Research Ethics Committee of UNIFESP and the board of HMMOLC, and included in the Brazil Platform and in the Brazilian Clinical Trial Registry. After signing the consent form, 80 women, who were submitted to gynecological surgery in the period from January to June 2016, were randomized into 2 groups: control group (n = 42) and juice group (n = 38). They received, respectively, 200 mL of inert solution or liquid enriched with carbohydrate and protein 4 hours presurgery. The incidence, frequency and intensity of PONV were studied using the Visual Analogue Scale (VAS), with statistical analysis performed by the software IBM SPSS Statistics for Windows, Version 20.0 (IBM Corp, Armonk, NY, USA). Results The incidence of nausea and vomiting was lower than in the literature, to this population, with 18.9% (14/74) for the control group and 10.8% (8/74) for the juice group, respectively, with no statistically significant difference between the groups. Conclusion The incidence of nausea and vomiting was lower than in the literature, but it cannot be said that this is due to the abbreviation of fasting. It can provide greater comfort, with the possibility of PONV prevention in patients at risk for these episodes.

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