International journal of obstetric anesthesia
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Int J Obstet Anesth · Aug 2014
Randomized Controlled TrialPrevention versus treatment of intrathecal morphine-induced pruritus with ondansetron.
Intrathecal morphine is used for post-cesarean analgesia, but pruritus is a common side effect. Ondansetron would be an attractive treatment because it prevents nausea, is non-sedative or has no anti-analgesic effect. We undertook a study to assess the efficacy of ondansetron for treatment or prophylaxis of intrathecal morphine-induced pruritus. ⋯ Prophylactic ondansetron did not reduce pruritus when compared with placebo. The use of ondansetron as a treatment did not decrease the severity of pruritus when compared with placebo.
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Int J Obstet Anesth · Aug 2014
Multicenter Study Observational StudyBlood transfusion in patients having caesarean section: a prospective multicentre observational study of practice in three Pakistan hospitals.
Increasing awareness of the risks of blood transfusion has prompted examination of red cell transfusion practice in obstetrics. A six-month prospective observational study was performed to examine blood transfusion practices in patients undergoing caesarean delivery at three hospitals in Pakistan. ⋯ Blood transfusion was prescribed more readily in the public hospital. Identification of a transfusion trigger and the development of institutional guidelines to reduce unnecessary transfusion are required.