Articles: postoperative.
-
Ther Clin Risk Manag · Aug 2007
Ondansetron oral disintegrating tablets for the prevention of postoperative vomiting in children undergoing strabismus surgery.
Strabismus surgery in pediatric patients is associated with a high incidence of postoperative nausea and vomiting (PONV). Ondansetron disintegrating tablets (ODT), an oral freeze-dried formulation of the 5-HT(3) antagonist, are well-tolerated and have been shown to reduce chemotherapy-induced vomiting. The purpose of this study was to assess the efficacy of the ODT in preventing postoperative vomiting (POV) in children undergoing strabismus repair. ⋯ The incidence and severity of POV and use of rescue antiemetics were significantly lower in children who received ODT compared with placebo (p
-
Bladder spasms are a common cause of pain after surgical procedures that call for postoperative catheter drainage. Several therapeutic methods have been used to lessen these spasms but none have received widespread success. ⋯ Intravesical instillation of ropivacaine is a feasible alternative prophylactic treatment for postoperative bladder spasms.
-
In addition to mortality, Health Related Quality of Life (HRQOL) has increasingly been claimed as an important outcome variable. The aim of this study was to assess HRQOL and independence in activities of daily living (ADL) six months after discharge from an Intensive Care Unit (ICU), and to study its determinants. ⋯ ASA-PS, age, type of surgery, ICU LOS and SAPS II could be seen as determinants of HRQOL.
-
Rev Bras Anestesiol · Apr 2007
[Side effects of subarachnoid and epidural sufentanil associated with a local anesthetic in patients undergoing labor analgesia.].
The association of an opioid with a local anesthetic improves the quality of labor analgesia and reduces the risk of systemic toxicity of the local anesthetic. However, opioids are not devoid of side effects. The aim of this study was to compare the side effects of subarachnoid sufentanil associated with bupivacaine to those caused by epidural sufentanil associated with ropivacaine in the doses used in the Anesthesiology Department in pregnant women undergoing labor analgesia. ⋯ Subarachnoid or epidural sufentanil, in the doses used in this study, associated with local anesthetics, had the same effect on the duration of labor after analgesia and in the Apgar score of newborns. Sedation was the most frequent side effect in patients receiving epidural sufentanil.
-
Rev Bras Anestesiol · Feb 2007
Epidural S+ ketamine and S+ ketamine-morphine associated with ropivacaine in the postoperative analgesia and sedation of upper abdominal surgery.
The association of drugs with different mechanisms of action in the dorsal horn of the spinal cord decreases postoperative pain, with a reduction in the incidence of side effects. The aim of this study was to evaluate postoperative analgesia and sedation by epidural S(+) ketamine and S(+) ketamine-morphine associated with ropivacaine in subcostal cholecystectomy. ⋯ S(+) ketamine and the associations S(+) ketamine-morphine promoted sedation up to 2h after the end of the surgical procedure. S(+) ketamine promoted analgesia especially at the moment of the 2h observation, and the associations of S(+) ketamine-morphine promoted analgesia especially at 2h and 6h after the surgery.