Saudi Med J
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Randomized Controlled Trial Comparative Study
Prophylaxis of postoperative nausea and vomiting with ondansetron, metoclopramide, or placebo in total intravenous anesthesia patients undergoing laparoscopic cholecystectomy.
To compare total intravenous anesthesia (TIVA) with ondansetron, and metoclopramide in preventing postoperative nausea and vomiting (PONV) in laparoscopic cholecystectomy patients. ⋯ It is unlikely that a single technique or drug will ever be effective in treating emesis under all surgical circumstances. Therefore, a multimodal regimen incorporating avoidance of emesis triggering factors, and administration of antiemetic medications is recommended.
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To determine the frequency and patterns of dyslipidemia in patients with type 2 diabetes mellitus (DM) and to estimate the effects of sociodemographic and clinical variables on dyslipidemia. ⋯ Over 90% of patients with type 2 DM had one or more types of dyslipidemia. The most common dyslipidemia in our study was high LDL-cholesterol and high triglycerides as reported in the literature. We recommend aggressive drug management, education, counseling, and behavioral interventions.
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Sepsis and septic shock are major contributors to mortality in children worldwide. While many factors may contribute to poor outcomes, resource limitations play a role in developing countries. ⋯ In this manuscript, the significant gains over the last few years are outlined, and issues to consider in resource limited environments are discussed. In addition, an invitation is extended to participate in a global sepsis initiative.