Document Detail


Comparison of ondansetron and metoclopramide for the prevention of post-operative nausea and vomiting after major gynaecological surgery.
MedLine Citation:
PMID:  8889424     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The efficacy of ondansetron 4 mg was compared with metoclopramide 10 mg for the prevention of post-operative nausea and vomiting in patients after major gynaecological abdominal surgery. Anaesthesia was standardized using thiopentone, atracurium and methadone for induction followed by isoflurane in nitrous oxide-oxygen mixture. Fifty patients were randomized in a double-blind fashion to either receive intravenous (i.v.) ondansetron 4 mg or metoclopramide 10 mg during closure of the pelvic peritoneum. The incidence and frequency of vomiting, and the incidence of severe nausea was recorded for 24 h after surgery. One patient was excluded because of respiratory depression. In the first 4 h after surgery, five patients (20%) in the ondansetron group (n = 25) and eight patients (33%) in the metoclopramide group (n = 24) vomited, whereas at 4-12 h, this increased to 11 patients (44%) and nine patients (37.5%) respectively. The incidence was 52 and 37.5% respectively in the subsequent 12-24 h. The highest incidence of nausea was in the first 4 h after surgery, being 56 and 37.5% in the ondansetron and the metoclopramide groups respectively. This decreased to less than 25% in both groups in the 12-24 h period. Ondansetron 4 mg and metoclopramide 10 mg had similar but short lasting efficacy for the prevention of vomiting in patients who received continued opioid analgesia after major gynaecological surgery.
Authors:
P P Chen; P T Chui; T Gin
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  European journal of anaesthesiology     Volume:  13     ISSN:  0265-0215     ISO Abbreviation:  Eur J Anaesthesiol     Publication Date:  1996 Sep 
Date Detail:
Created Date:  1997-01-31     Completed Date:  1997-01-31     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8411711     Medline TA:  Eur J Anaesthesiol     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  485-91     Citation Subset:  IM    
Affiliation:
Department of Anaesthesia and Intensive Care, Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, NT, Hong Kong.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Analgesics, Opioid / therapeutic use
Antiemetics / therapeutic use*
Double-Blind Method
Female
Humans
Hysterectomy*
Injections, Intravenous
Methadone / therapeutic use
Metoclopramide / therapeutic use*
Middle Aged
Nausea / prevention & control*
Ondansetron / therapeutic use*
Ovary / surgery*
Pain, Postoperative / drug therapy
Postoperative Complications / prevention & control*
Vomiting / prevention & control*
Chemical
Reg. No./Substance:
0/Analgesics, Opioid; 0/Antiemetics; 364-62-5/Metoclopramide; 76-99-3/Methadone; 99614-02-5/Ondansetron

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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