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https://www.readbyqxmd.com/read/29310376/perioperative-analgesia-after-intrathecal-fentanyl-and-morphine-or-morphine-alone-for-cesarean-section-a-randomized-controlled-study
#1
RANDOMIZED CONTROLLED TRIAL
Wojciech Weigl, Andrzej Bieryło, Monika Wielgus, Świetlana Krzemień-Wiczyńska, Marcin Kołacz, Michał J Dąbrowski
OBJECTIVES: Intrathecal morphine is used in the postoperative management of pain after caesarean section (CS), but might not be optimal for intraoperative analgesia. We hypothesized that intrathecal fentanyl could supplement intraoperative analgesia when added to a local anesthetic and morphine without affecting management of postoperative pain. METHODS: This prospective, randomized, double-blind, parallel-group study included 60 parturients scheduled for elective CS...
December 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29201358/association-of-postoperative-nausea-vomiting-and-pain-with-breastfeeding-success
#2
Ramon Abola, Jamie Romeiser, Suman Grewal, Sabeen Rizwan, Rishimani Adsumelli, Ellen Steinberg, Elliott Bennett-Guerrero
Background: Successful breastfeeding is a goal set forth by the World Health Organization to improve neonatal care. Increasingly, patients express the desire to breastfeed, and clinicians should facilitate successful breastfeeding. The primary aim of this study is to determine if postoperative nausea and vomiting (PONV) or postoperative pain are associated with decreased breastfeeding success after cesarean delivery. Methods: This is a historical cohort study using the Stony Brook Elective Cesarean Delivery Database...
2017: Perioperative Medicine
https://www.readbyqxmd.com/read/28860857/preventing-nausea-and-vomiting-in-women-undergoing-regional-anesthesia-for-cesarean-section-challenges-and-solutions
#3
REVIEW
Yvonne Jelting, Christian Klein, Thomas Harlander, Leopold Eberhart, Norbert Roewer, Peter Kranke
BACKGROUND: Intraoperative nausea and vomiting (IONV) or postoperative nausea and vomiting (PONV) affecting women undergoing regional anesthesia for cesarean section is an important clinical problem since these techniques are used widely. There are burdens of literature about IONV/PONV and several in parturient and cesarean. However, it needs more attention. The underlying mechanisms of IONV and PONV in the obstetrical setting mainly include hypotension due to sympathicolysis during neuraxial anesthesia, bradycardia owing to an increased vagal tone, the visceral stimulation via the surgical procedure and intravenously administered opioids...
2017: Local and Regional Anesthesia
https://www.readbyqxmd.com/read/28591085/influence-of-oprm1-polymorphism-on-postoperative-pain-after-intrathecal-morphine-administration-in-italian-patients-undergoing-elective-cesarean-section
#4
Eleonora Pettini, Massimo Micaglio, Ubaldo Bitossi, Angelo R De Gaudio, Duccio R Degl'Innocenti, Lorenzo Tofani, Vittorio Limatola, Chiara Adembri, Alessandro Di Filippo
OBJECTIVES: The aim of this prospective observational study was to evaluate the influence of OPRM1 polymorphism on the analgesic efficacy (including visual analog scale [VAS] scores and requirement for rescue analgesia) of a standard dose of intrathecal morphine. MATERIALS AND METHODS: An Italian cohort of 63 parturients, scheduled for elective cesarean section at a tertiary University Hospital, received spinal anesthesia with hyperbaric bupivacaine and morphine 100 mcg...
February 2018: Clinical Journal of Pain
https://www.readbyqxmd.com/read/28413279/comparing-slow-and-rapid-bolus-of-ephedrine-in-pregnant-patients-undergoing-planned-cesarean-section-under-spinal-anesthesia
#5
Prabu Gunasekaran, Lenin Babu Elakkumanan, Hemavathi Balachander, M V S Satyaprakash
BACKGROUND AND AIMS: While ephedrine was the preferred drug for treating spinal-induced hypotension in pregnancy, its use has declined because of resultant fetal acidosis. The objective of this randomized control trial was to compare the effects of a slow and rapid bolus of ephedrine on fetal acidosis, maternal blood pressure, and heart rate (HR) during cesarean section performed under spinal anesthesia. MATERIAL AND METHODS: Eighty full-term parturients scheduled for cesarean section under spinal anesthesia were randomly allocated into two groups...
January 2017: Journal of Anaesthesiology, Clinical Pharmacology
https://www.readbyqxmd.com/read/28373040/-evaluation-of-enhanced-recovery-for-elective-cesarean-section
#6
A Cattin, A De Baene, E Achon, Y Bersot, Q Destoop, A Pelissier, S Bonneau, J-M Malinovsky, O Graesslin, E Raimond
OBJECTIVE: To evaluate the implementation of a protocol of enhanced recovery for elective cesarean section in a level III maternity. METHODS: This is a prospective observational study such as "before/after" on the implementation of a protocol of enhanced recovery for elective cesarean section from January 1st to December 31st, 2015, in a level III obstetrics unit French maternity. Patients were separated in 2 groups: women who benefit from enhanced recovery protocol after the first of July compared to women who underwent the conventional protocol between January 1st and June 30th, 2015...
March 31, 2017: Gynecologie, Obstetrique, Fertilite & Senologie
https://www.readbyqxmd.com/read/26790216/-impacts-of-transcutaneous-acupoint-electric-stimulation-on-the-postoperative-nausea-and-vomiting-and-plasma-5-ht-concentration-after-cesarean-section
#7
RANDOMIZED CONTROLLED TRIAL
Yanli Liu, Mingshan Wang, Qiujie Li, Ling Wang, Jingzhu Li
OBJECTIVE: To observe the effect of transcutaneous acupoint electric stimulation on the postoperative nausea and vomiting (PONV) and explore its mechanism. METHODS: Ninety cases of elective cesarean section of I to II grade in American Society of Anesthesiologists (ASA) were collected and randomized into a transcutaneous acupoint electric stimulation group (group A), a sham-acupoint group (group B) and a blank control group (group C), 30 cases in each one. In the group A, 30 min before operation, the transcutaneous electric stimulation was applied to bilateral Neiguan (PC 6) and Zusanli (ST 36)...
October 2015: Zhongguo Zhen Jiu, Chinese Acupuncture & Moxibustion
https://www.readbyqxmd.com/read/25812804/effect-of-ondansetron-on-post-dural-puncture-headache-pdph-in-parturients-undergoing-cesarean-section-a-double-blind-randomized-placebo-controlled-study
#8
RANDOMIZED CONTROLLED TRIAL
Zainabosadat Fattahi, Seyed Mohammad Reza Hadavi, Mohammad Ali Sahmeddini
PURPOSE: One of the most exhausting complications of spinal anesthesia, especially in parturients, is post-dural puncture headache (PDPH). This headache is not responsive to the usual pain killers. Ondansetron is a 5-HT3 receptor antagonist which is generally used for the prophylactic management of nausea and vomiting; however, studies have found that ondansetron might decrease the incidence of PDPH. Therefore, we aimed to evalute the effect of ondansetron on decreasing the incidence of PDPH...
October 2015: Journal of Anesthesia
https://www.readbyqxmd.com/read/25737619/palonosetron-versus-ramosetron-prophylaxis-for-control-of-postoperative-nausea-and-vomiting-after-cesarean-delivery-under-spinal-anesthesia
#9
Suman Chattopadhyay, Sebanti Goswami
PURPOSE: Postoperative nausea and vomiting (PONV) after spinal anesthesia for cesarean delivery are distressing to both patients and surgeons. This study was designed to evaluate the efficacy and safety of palonosetron and ramosetron (both newer and highly potent 5HT3 receptor antagonists) in nausea and vomiting in cesarean delivery after spinal anesthesia. METHODS: In this randomized, double-blind study, 109 women received either palonosetron (0.075 mg) or ramosetron (0...
February 2015: Journal of Obstetrics and Gynaecology of India
https://www.readbyqxmd.com/read/25530054/the-effects-of-religion-and-spirituality-on-postoperative-pain-hemodynamic-functioning-and-anxiety-after-cesarean-section
#10
RANDOMIZED CONTROLLED TRIAL
Siavash Beiranvand, Morteza Noparast, Nasrin Eslamizade, Saeed Saeedikia
Spiritual elements play an important role in the recovery process from acute postoperative pain. This study was conducted to assess the effect of pray meditation on postoperative pain reduction and physiologic responds among muslim patients who underwent cesarean surgery under spinal anesthesia. This double-blinded randomized clinical trial study was conducted among muslim patients who underwent cesarean surgery under spinal anesthesia during 2011-2013 at tertiary regional and teaching hospital in Lorestan, Iran...
2014: Acta Medica Iranica
https://www.readbyqxmd.com/read/25346896/effect-of-sub-hypnotic-doses-of-propofol-and-midazolam-for-nausea-and-vomiting-during-spinal-anesthesia-for-cesarean-section
#11
Sousan Rasooli, Farnaz Moslemi, Arash Khaki
BACKGROUND: Spinal anesthesia has been associated with intraoperative nausea and vomiting (IONV), especially during cesarean section, which is attributed to several mechanisms. OBJECTIVES: In the present study, therapeutic and preventive properties of sub hypnotic dose midazolam and propofol and their effects on the occurrence and severity of intraoperative nausea and vomiting during elective cesarean section under spinal anesthesia were evaluated. PATIENTS AND METHODS: In a randomized, double-blind, and placebo-controlled clinical trial, 90 parturients, ASA class I and II, aged 20-30 years, who undergone spinal anesthesia for cesarean section were randomly allocated to one of three groups receiving midazolam (1 mg bolus and 0...
October 2014: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/25320597/dexamethasone-versus-a-combination-of-dexamethasone-and-ondansetron-as-prophylactic-antiemetic-in-patients-receiving-intrathecal-morphine-for-caesarean-section
#12
RANDOMIZED CONTROLLED TRIAL
Akpan Imeh, Oladapo Olaniyi, Olateju Simeon, Odusoga Omotola
BACKGROUND: Intrathecal morphine for caesarean delivery provides excellent postoperative analgesia but it is commonly associated with nausea and vomiting. This prospective, randomized, double blind study was carried out to compare the effectiveness of a combination of dexamethasone and ondansetron with dexamethasone alone for prevention of postoperative nausea and vomiting (PONV) following intrathecal morphine injection for caesarean section. METHODS: A total of 108 parturients aged 18-40 years for elective caesarean section were randomized into 2 groups (n=54) to receive either intravenous dexamethasone 8 mg (Group A) or a combination of intravenous dexamethasone 8 mg and ondansetron 4 mg (group B)...
June 2014: African Health Sciences
https://www.readbyqxmd.com/read/23605600/the-effect-of-acupressure-on-nausea-and-vomiting-after-cesarean-section-under-spinal-anesthesia
#13
RANDOMIZED CONTROLLED TRIAL
Heydar Noroozinia, Alireza Mahoori, Ebrahim Hasani, Mohsen Gerami-Fahim, Nariman Sepehrvand
Postoperative nausea and vomiting (PONV) is one of the most common postoperative complications. Aside from pharmacological interventions, other complementary healing modalities have been introduced to assist patients in decreasing PONV and improving postoperative outcomes. This study examined acupressure as a safe complement to the more traditional approach of using drugs to prevent and/or relieve nausea and vomiting in the Cesarean section (C/S) under spinal anesthesia. In a prospective randomized clinical trial, 152 patients who were candidate for elective C/S under spinal anesthesia were evaluated in two groups (acupressure vs control groups)...
2013: Acta Medica Iranica
https://www.readbyqxmd.com/read/23563797/prophylaxis-and-treatment-of-the-side-effects-of-neuraxial-morphine-analgesia-following-cesarean-delivery
#14
REVIEW
Jennifer E Dominguez, Ashraf S Habib
PURPOSE OF REVIEW: Neuraxial morphine is commonly used for analgesia after cesarean delivery, but is frequently associated with postoperative nausea and vomiting (PONV) and pruritus. This review describes the recent advances in the management of those side-effects. RECENT FINDINGS: Neuraxial-morphine-induced side-effects are dose related; therefore, the minimum effective dose should be used. Dexamethasone, 5HT3 receptor antagonists, antihistamines, and anticholinergics reduce the incidence of PONV, whereas metoclopramide 10 mg does not appear to be effective for PONV prophylaxis in this patient population...
June 2013: Current Opinion in Anaesthesiology
https://www.readbyqxmd.com/read/23357939/a-comparison-of-the-effects-of-fentanyl-and-remifentanil-on-nausea-vomiting-and-pain-after-cesarean-section
#15
Mitra Jabalameli, Safoura Rouholamin, Fatemeh Gourtanian
BACKGROUND: The effects of different opioids on postoperative nausea and vomiting (PONV) and pain have not been conclusively determined. The aim of this study was to compare the effects of fentanyl, remifentanil or fentanyl plus morphine on the incidence of PONV and pain in women subjected to cesarean section under general anesthesia. METHODS: The study was a randomized clinical trial recruiting 96 parturients with American Society of Anesthesiologists (ASA) physical status I and II...
September 2011: Iranian Journal of Medical Sciences
https://www.readbyqxmd.com/read/23134960/-effects-of-transcutaneous-electrical-stimulation-of-auricular-shenmen-point-on-postoperative-nausea-and-vomiting-and-patient-controlled-epidural-analgesia-in-cesarean-section
#16
RANDOMIZED CONTROLLED TRIAL
Jing-zhu Li, Xiao-zheng Li, Ming-shan Wang, Jie-ping Li, Fei Shi, Hai-fang Yu
OBJECTIVE: To investigate the effects of transcutaneous electrical stimulation of auricular Shenmen point on postoperative nausea and vomiting and patient-controlled epidural analgesia in cesarean section. METHODS: After IRB approval and informed consent, one hundred and eighty singleton primiparas undergoing elective cesarean section, in Qingdao Municipal Hospital, and Qingdao Hiser Medical Center, from November 2011 to March 2012, were randomly assigned to three groups: transcutaneous electrical stimulation of auricular Shenmen point group (group A, n = 60), transcutaneous electrical stimulation of auricular Eye point group (group B, n = 60) and control group (group C, n = 60)...
July 17, 2012: Zhonghua Yi Xue za Zhi [Chinese medical journal]
https://www.readbyqxmd.com/read/22737716/-efficacy-of-intravenous-scopolamine-for-preventing-postoperative-nausea-and-vomiting-after-cesarean-section
#17
Yu-Jing Shen, Yi-Qing Yin, Ya-Jun Zhang, Qian Zhu, Jin-Hua Zhang, Wei Zhao, Cheng-Hui Li
OBJECTIVE: To observe the efficacy of intravenous scopolamine in the prevention of postoperative nausea and vomiting (PONV) after cesarean section (CS). METHODS: A total of 260 pregnant women with American Society of Anesthesiologists (ASA) Physical Status Classification class I-II who underwent elective CS under combined spinal-epidural anesthesia (CSEA) were randomly divided into four groups (n = 65): at the end of surgery, 0.3 mg/5 ml scopolamine (scopolamine group), 4 mg/5 ml ondansetron (ondansetron group), 0...
February 2012: Zhongguo Yi Xue Ke Xue Yuan Xue Bao. Acta Academiae Medicinae Sinicae
https://www.readbyqxmd.com/read/22344239/dexamethasone-for-the-prophylaxis-of-postoperative-nausea-and-vomiting-associated-with-neuraxial-morphine-administration-a-systematic-review-and-meta-analysis
#18
REVIEW
Terrence K Allen, Cheryl A Jones, Ashraf S Habib
BACKGROUND: We performed a systematic review to assess the efficacy of dexamethasone in reducing postoperative nausea, vomiting (PONV), pruritus, and enhancing postoperative analgesia in patients receiving neuraxial anesthesia with neuraxial morphine. METHODS: We searched Medline (1966-2011), the Cochrane Central Register of Controlled Trials, EMBASE, and Web of Science for all randomized controlled trials comparing dexamethasone with placebo for the prevention of PONV and/or pruritus in patients receiving neuraxial morphine as part of a neuraxial anesthetic technique...
April 2012: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/22307240/metoclopramide-for-nausea-and-vomiting-prophylaxis-during-and-after-caesarean-delivery-a-systematic-review-and-meta-analysis
#19
REVIEW
B M Mishriky, A S Habib
Nausea and vomiting occur commonly during and after Caesarean delivery (CD) performed under neuraxial anaesthesia. Metoclopramide is a prokinetic agent reported to be safe in parturients. This meta-analysis assesses the efficacy of metoclopramide for prophylaxis against intra- and postoperative nausea and vomiting (IONV and PONV) in parturients undergoing CD under neuraxial anaesthesia. We performed a literature search of MEDLINE (1966-2011), Cochrane Central Register of Controlled Trials, EMBASE (1947-2011), Google scholar, and CINAHL for randomized controlled trials which compared metoclopramide with placebo in women having CD under neuraxial anaesthesia...
March 2012: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/22036059/effect-of-coadministration-of-dexamethasone-with-intrathecal-morphine-on-postoperative-outcomes-after-cesarean-delivery
#20
RANDOMIZED CONTROLLED TRIAL
Mahmoud Abdel-Aleem, Ayman Osman, Khaled Morsy
OBJECTIVE: To investigate the effect of intrathecal dexamethasone administered with intrathecal morphine at cesarean delivery on postoperative adverse effects and patient satisfaction. METHODS: A triple-blind, randomized, placebo-controlled trial conducted between February 2008 and December 2009 of 120 pregnant women scheduled to undergo cesarean delivery. The patients were randomized into 2 groups: group 1 received 0.2mg of intrathecal morphine plus 8 mg of intrathecal dexamethasone, while group 2 received 0...
February 2012: International Journal of Gynaecology and Obstetrics
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