Canadian journal of anaesthesia = Journal canadien d'anesthésie
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Randomized Controlled Trial Multicenter Study Clinical Trial
P6 acupressure may relieve nausea and vomiting after gynecological surgery: an effectiveness study in 410 women.
To investigate the effect of sensory stimulation of the P6 point on postoperative nausea and vomiting (PONV) after gynecological surgery in the everyday clinical setting (effectiveness study). ⋯ P6 acupressure is a non-invasive method that may have a place as prophylactic antiemetic therapy during gynecological surgery.
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Randomized Controlled Trial Clinical Trial
Metoclopramide decreases emesis but increases sedation in tramadol patient-controlled analgesia.
To evaluate the clinical benefits and disadvantages of adding metoclopramide to tramadol for patient-controlled analgesia (PCA). ⋯ The incidence and severity of nausea/vomiting decreased if metoclopramide was added to tramadol for PCA. An increased incidence of sedation was noticed with this drug combination.
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Randomized Controlled Trial Clinical Trial
In children, nitrous oxide decreases pain on injection of propofol mixed with lidocaine.
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Randomized Controlled Trial Clinical Trial
Dolasetron, but not metoclopramide prevents nausea and vomiting in patients undergoing laparoscopic cholecystectomy.
Postoperative nausea and vomiting (PONV) is one of the most frequent complications of general anesthesia. The aim of the study was to compare the antiemetic efficacy of dolasetron and metoclopramide after inhalational or i.v. anesthesia (IVA). ⋯ The results of our study suggest that dolasetron was more effective than MCP and placebo in preventing PONV. This action is independent of the anesthetic technique used.
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Randomized Controlled Trial Comparative Study Clinical Trial
Fentanyl is more effective than remifentanil at preventing increases in cerebral blood flow velocity during intubation in children.
Controlling the cerebral and systemic hemodynamic responses to laryngoscopy and tracheal intubation may play a role in determining clinical outcome in pediatric neurosurgical patients. This study compared the effects of remifentanil and fentanyl on cerebral blood flow velocity (CBFV) and hemodynamic profile during laryngoscopy and tracheal intubation in children under sevoflurane anesthesia. ⋯ This study suggests that fentanyl was more effective than remifentanil at preventing increases in CBFV during and immediately following laryngoscopy and tracheal intubation in children undergoing sevoflurane anesthesia. Fentanyl also seemed to provide a more stable hemodynamic profile prior to laryngoscopy and tracheal intubation when compared to remifentanil.