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ponv cesarean

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
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
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
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
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
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
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
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
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
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]
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
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
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
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
Alaa M El-Deeb, Mona S Ahmady
PURPOSE: Acupuncture has been used for the management of postoperative nausea and vomiting (PONV). This study compared the effect of electrical acustimulation with ondansetron for preventing intraoperative and postoperative emetic symptoms and improving patient satisfaction. METHODS: After gaining ethical approval, 450 parturients scheduled for elective cesarean delivery were randomly allocated to receive either electrical stimulation using P6 acupoint (pericardium 6) bilaterally for 30 min before spinal anesthesia (group III; n = 150), or 4 mg ondansetron 30 min before spinal anesthesia (group II; n = 150), or placebo (group II; n = 150)...
October 2011: Journal of Anesthesia
M Baciarello, A Cornini, M Zasa, P Pedrona, G Scrofani, F S Venuti, G Fanelli
BACKGROUND: Postoperative nausea and vomiting (PONV) is a common adverse effect of intrathecal morphine, especially after Cesarean section. This randomized controlled trial investigated the effects of intrathecal administration of a small-dose of atropine on postoperative nausea and vomiting after Cesarean section. METHODS: Parturients with ASA physical status class I-II scheduled for elective Cesarean section and consenting to spinal anesthesia were enrolled. They received 0...
August 2011: Minerva Anestesiologica
Ikuomi Mikuni, Hiroyasu Hirai, Yuki Toyama, Osamu Takahata, Hiroshi Iwasaki
STUDY OBJECTIVE: To evaluate the analgesia following cesarean delivery and the frequency of side effects of intrathecal morphine when combined with a continuous epidural infusion. DESIGN: Randomized, double-blinded study. SETTING: University hospital. PATIENTS: 76 ASA physical status I and II term parturients undergoing cesarean delivery with combined spinal-epidural anesthesia. INTERVENTIONS: Patients were randomized to one of three groups to receive 0, 50, or 100 microg (Group 0, Group 50, and Group 100, respectively) intrathecal morphine in addition to 8 mg of hyperbaric bupivacaine...
June 2010: Journal of Clinical Anesthesia
Rashad Siddiqi, Syed Asadullah Jafri
OBJECTIVE: To determine the level of satisfaction in terms of intra-operative pain and postoperative nausea, vomiting and backache among patients receiving spinal anaesthesia for caesarean section. STUDY DESIGN: Cross-sectional survey. PLACE AND DURATION OF STUDY: Department of Anaesthesia and Intensive Care at the Combined Military Hospital, Bahawalpur, from August 2005 to June 2007. METHODOLOGY: A total of 246 pregnant patients undergoing caesarean section under spinal anaesthesia were surveyed...
February 2009: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
Terrence K Allen, Ashraf S Habib
BACKGROUND: A number of studies investigated the use of P6 stimulation for the prevention of intraoperative and postoperative nausea and vomiting (IONV and PONV) in women having cesarean delivery under neuraxial anesthesia. We performed a systematic review to determine the overall efficacy of these techniques in preventing IONV and PONV in this patient population. METHODS: We performed a literature search of all randomized controlled trials (1966-2007) that compared different methods of P6 stimulation with placebo in women having cesarean delivery under neuraxial anesthesia...
October 2008: Anesthesia and Analgesia
Ali Asghar Ghods, Mohsen Soleimani, Mahnaz Narimani
Postoperative nausea and vomiting (PONV) has a significant impact on patients and health care providers. Some nonpharmacologic methods may have an effect on PONV. Administration of supplemental oxygen (80%) during and for 2 hours after surgery has been shown to reduce the incidence of PONV from 44% to 22%. However, the effect of limiting supplemental oxygen to the immediate postoperative period on PONV is unknown. The purpose of this study was to test the efficacy of postoperative supplemental oxygen in reducing the incidence of PONV...
June 2005: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
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