Document Detail


Single i.v. bolus dose of ondansetron in the prevention of postoperative nausea and emesis.
MedLine Citation:
PMID:  9526603     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In this placebo controlled, double blind multicentre study, the efficacy and safety of a single i.v. bolus dose of ondansetron 4 mg were evaluated in the prevention of postoperative nausea and vomiting (PONV), which remains one of the most unpleasant side effects experienced by patients postoperatively. The study population included patients having general anesthesia and undergoing major gynecological or elective abdominal surgery by laparoscopy. Thirty three percent of placebo-treated patients had at least one emetic episode over 24 hrs compared with 21% in the ondansetron group (p = 0.03). Forty two percent of placebo-treated patients experienced nausea in the 24 hours post-recovery period, compared to 27% of patients treated with ondansetron 4 mg (p = 0.01). Several factors appeared to be associated with an increased risk of developing PONV, namely gender (female), type of surgery (gynecological), experience of previous PONV and duration of anesthesia; the use of propofol was not a significant factor. Ondansetron was well tolerated, with no side effect being reported as a significant problem.
Authors:
P Moens; M Levarlet; P Hendrickx; E De Guchteneere
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Publication Detail:
Type:  Clinical Trial; Journal Article; Multicenter Study; Randomized Controlled Trial    
Journal Detail:
Title:  Acta anaesthesiologica Belgica     Volume:  48     ISSN:  0001-5164     ISO Abbreviation:  Acta Anaesthesiol Belg     Publication Date:  1997  
Date Detail:
Created Date:  1998-04-24     Completed Date:  1998-04-24     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0421022     Medline TA:  Acta Anaesthesiol Belg     Country:  BELGIUM    
Other Details:
Languages:  eng     Pagination:  245-50     Citation Subset:  IM    
Affiliation:
Cliniques Universitaires de Bruxelles, Hôpital Erasme.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Antiemetics / administration & dosage,  adverse effects,  pharmacology*
Double-Blind Method
Female
Humans
Injections, Intravenous
Laparoscopy
Male
Middle Aged
Nausea / chemically induced,  prevention & control*
Ondansetron / administration & dosage,  adverse effects,  pharmacology*
Postoperative Complications / chemically induced,  prevention & control*
Risk Factors
Vomiting / chemically induced,  prevention & control*
Chemical
Reg. No./Substance:
0/Antiemetics; 99614-02-5/Ondansetron

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


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