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Titolo:
Impact of antiemetic selection on postoperative nausea and vomiting and patient satisfaction
Autore:
Darkow, T; Gora-Harper, ML; Goulson, DT; Record, KE;
Indirizzi:
Univ Kentucky, Coll Pharm, Lexington, KY USA Univ Kentucky Lexington KY USA v Kentucky, Coll Pharm, Lexington, KY USA Univ Kentucky, Albert B Chandler Med Ctr, Dept Anesthesiol, Lexington, KY 40536 USA Univ Kentucky Lexington KY USA 40536 Anesthesiol, Lexington, KY 40536 USA
Titolo Testata:
PHARMACOTHERAPY
fascicolo: 5, volume: 21, anno: 2001,
pagine: 540 - 548
SICI:
0277-0008(200105)21:5<540:IOASOP>2.0.ZU;2-O
Fonte:
ISI
Lingua:
ENG
Soggetto:
MIDDLE-EAR SURGERY; COST-EFFECTIVENESS; DOUBLE-BLIND; RISK SCORE; INTRAVENOUS DOLASETRON; GYNECOLOGIC SURGERY; DROPERIDOL; ONDANSETRON; PREVENTION; THERAPY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
45
Recensione:
Indirizzi per estratti:
Indirizzo: Gora-Harper, ML Univ Kentucky Hosp, Drug Informat Ctr C118, 800 Rose St, Lexington, KY 40536 USA Univ Kentucky Hosp 800 Rose St Lexington KY USA 40536 USA
Citazione:
T. Darkow et al., "Impact of antiemetic selection on postoperative nausea and vomiting and patient satisfaction", PHARMACOTHE, 21(5), 2001, pp. 540-548

Abstract

Study Objective. To determine the impact of antiemetic selection on postoperative nausea and vomiting (PONV) and patient satisfaction after ambulatory surgery. Design. Prospective, observational study. Setting. Ambulatory surgery center in an academic medical center. Patients. Five hundred fifty-four consecutive patients undergoing ambulatory surgical procedures of any kind. Intervention. Data on antiemetic utilization, occurrence of PONV, and patient satisfaction were collected perioperatively Multiple regression analyses for antiemetic choice were performed. Measurements and Main Results. Prophylactic antiemetic therapy was administered to 292 (52.7%) patients, most often with droperidol (200 patients), metoclopramide (134), or dexamethasone (55). Forty-one (7.4%) patients had an episode of emesis in the postanesthesia care unit. Choice of antiemetic was not a significant predictor of PONV. Patient satisfaction for all patients was 9.5 on a 10-point scale, with no agent more or less successful than any other. Conclusion. As choice of antiemetic drug given for prophylaxis had little impact on clinical outcome or patient satisfaction, traditional agents should form the core of antiemetics used for PONV prophylaxis in ambulatory surgery patients.

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Documento generato il 01/10/20 alle ore 01:25:02