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Titolo:
Reduced resource utilization in patients treated for postoperative nausea and vomiting with dolasetron mesylate
Autore:
Kovac, A; Mingus, M; Sung, YF; Neary, M;
Indirizzi:
Univ Kansas, Med Ctr, Dept Anesthesiol, Kansas City, KS 66160 USA Univ Kansas Kansas City KS USA 66160 esthesiol, Kansas City, KS 66160 USA Mt Sinai Med Ctr, Dept Anesthesiol, New York, NY 10029 USA Mt Sinai Med Ctr New York NY USA 10029 nesthesiol, New York, NY 10029 USA Mt Sinai Med Ctr, Ambulatory Surg Ctr, New York, NY 10029 USA Mt Sinai MedCtr New York NY USA 10029 y Surg Ctr, New York, NY 10029 USA Emory Univ, Dept Anesthesiol, Atlanta, GA 30322 USA Emory Univ Atlanta GAUSA 30322 , Dept Anesthesiol, Atlanta, GA 30322 USA Emory Univ, Ambulatory Surg Ctr, Atlanta, GA 30322 USA Emory Univ AtlantaGA USA 30322 mbulatory Surg Ctr, Atlanta, GA 30322 USA Hoechst Marion Roussel, Kansas City, MO USA Hoechst Marion Roussel KansasCity MO USA n Roussel, Kansas City, MO USA
Titolo Testata:
JOURNAL OF CLINICAL ANESTHESIA
fascicolo: 3, volume: 11, anno: 1999,
pagine: 235 - 241
SICI:
0952-8180(199905)11:3<235:RRUIPT>2.0.ZU;2-G
Fonte:
ISI
Lingua:
ENG
Soggetto:
INTRAVENOUS DOLASETRON; AMBULATORY SURGERY; ANTIEMETIC THERAPY; COST-EFFECTIVENESS; DOUBLE-BLIND; ONDANSETRON; PREVENTION; EFFICACY; MULTICENTER; DROPERIDOL;
Keywords:
dolasetron mesylate; nausea and vomiting, postoperative; PONV; resource utilization;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
27
Recensione:
Indirizzi per estratti:
Indirizzo: Kovac, A Univ Kansas, Med Ctr, Dept Anesthesiol, 3901 Rainbow Blvd, KansasCity, KS66160 USA Univ Kansas 3901 Rainbow Blvd Kansas City KS USA 66160 S66160 USA
Citazione:
A. Kovac et al., "Reduced resource utilization in patients treated for postoperative nausea and vomiting with dolasetron mesylate", J CLIN ANES, 11(3), 1999, pp. 235-241

Abstract

Study Objective: To compare the effect of four different increasing intravenous (IV) doses of dolasetron mesylate (12.5 mg; 25 mg, 50 mg, and 100 mg)versus placebo on resource utilization in patients who experienced and were treated for postoperative nausea and vomiting (PONV). Design: Prospective double-blind randomized, multicenter study. Patients: 620 ASA physical status I, II, and III mat and female outpatients scheduled for surgery with general anesthesia. Interventions: Patients who experienced postoperative nausea (duration greater than or equal to 5 min, self-reported as moderate to severe) or vomiting (greater than or equal to 1 emetic episode) within 2 hours of arrival inthe postanesthesia care unit (PACU) were given a single IV dose of dolasetron mesylate (12.5 mg; 25 mg, 50 mg, or 100 mg) or placebo infused for at least 30 seconds. Measurements and Main Results: Resource utilization in the PACU was assessed bg time spent by nurses and/or doctors with patients for PONV and the use of hospital resources such as patient/bed linens and staff/emesis supplies. A significantly (p < 0.05) lower proportion of dolasetron-treated patients compared to placebo-treated patients required new patient/bed linens andstaff/emesis supplies. Patients in the placebo group required the greatestamount of care from nurses and/or doctors compared to patients receiving dolasetron. Conclusions: Treatment with dolasetron can significantly decrease the utilization of emesis supplies and other hospital resources, including staff/emesis supplies and patient/ bed linens. In addition, patients receiving dolasetron used fewer health care resources in time spent by hospital personnelthan patients who were not treated with dolasetron. (C) 1999 by Elsevier Science Inc.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 27/10/20 alle ore 04:46:48