Does Preoperative Hydration Affect Postoperative Nausea and Vomiting? A Randomized, Controlled Trial
| Autor: | Tayfun Adanir, Uğur Özgürbüz, Fahri Altin, Murat Aksun, Atilla Şencan |
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| Rok vydání: | 2008 |
| Předmět: |
Male
medicine.medical_specialty Vomiting medicine.drug_class medicine.medical_treatment Hypovolemia Volume replacement law.invention Randomized controlled trial law Preoperative Care medicine Humans Antiemetic Prospective Studies Relative hypovolemia Prospective cohort study Intraoperative Care business.industry Nausea Middle Aged Surgery Cholecystectomy Laparoscopic Elective Surgical Procedures Anesthesia Antiemetics Fluid Therapy Female Cholecystectomy medicine.symptom business Elective Surgical Procedure Postoperative nausea and vomiting |
| Zdroj: | Journal of Laparoendoscopic & Advanced Surgical Techniques. 18:1-4 |
| ISSN: | 1557-9034 1092-6429 |
| DOI: | 10.1089/lap.2007.0019 |
| Popis: | It has been suggested that relative hypovolemia due to overnight fasting may result in postoperative nausea and vomiting (PONV). The aim of this study was to investigate the effect of preoperative and intraoperative hydration (the necessary amount of fluid preoperatively to cover the fluid deficit) on PONV.Two hundred and ten consecutive patients who underwent elective laparoscopic cholecystectomy with The American Society of Anesthesiologists (ASA)-I physical statuses were studied prospectively. The patients were randomly assigned to one of two groups, each having 104 patients. Group 1 received intraoperative volume replacement, but Group-II received preoperative volume replacement. Postoperative antiemetic efficacy was assessed by the ratio of the patients that require an antiemetic over the whole group.The PONV was significantly less detected in the preoperative replacement group (48% in Group 2) than the intraoperative one (64% in Group 1) (P = 0.019).PONV was reduced when the fluid deficit was replaced preoperatively. |
| Databáze: | OpenAIRE |
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