Nausea e vomito em laparoscopia ginecologica: Efeitos do oxido nitroso e da metoclopramida

Página do item simplificado
dc.contributor.authorGanem, Eliana Marisa [UNESP]
dc.contributor.authorAchoa, R. V. [UNESP]
dc.contributor.authorVianna, Pedro Thadeu Galvão [UNESP]
dc.contributor.authorCastiglia, Yara Marcondes Machado [UNESP]
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.date.accessioned2014-05-27T11:18:11Z
dc.date.available2014-05-27T11:18:11Z
dc.date.issued1997-01-01
dc.description.abstractBackground and Objectives - Gynecological laparoscopy causes high postoperative morbidity, mainly due to occurrences such as nausea and vomiting. They result from a great multiplicity of etiologies and drugs used in anesthesia may function as contributing factors. Both the emetic properties of nitrous oxide and the efficacy of metoclopramide as antiemetic agent are controversial. This study was undertaken to determine the effects of both drugs, when used alone or in combination. Methods - Eighty three physical status ASA I and II women were studied. They were premedicated with midazolam before induction of anesthesia with alfentanil and propofol. Anesthesia was maintained with isoflurane with or without nitrous oxide in oxygen. Muscle relaxation was achieved with atracurium. There were 4 groups of patients: GI: midazolam, alfentanil, propofol, atracurium, isoflurane/oxygen; GII: midazolam, alfentanil, propofol, atracurium, isoflurane/nitrous oxide/oxygen; GIII: metoclopramide, midazolam, alfentanil, propofol, atracurium, isoflurane/oxygen; GIV: metoclopramide, midazolam, alfentanil, propofol, atracurium, isoflurane/nitrous oxide/oxygen. The incidence of nausea and vomiting was assessed both in the recovery room (RR) and in the ward. Results - There were no significant differences as regards age, weight and height of the patients and duration of anesthesia and surgery. Nausea and vomiting were more frequent in patients who received N2O (GII, 50%; GIV, 33%), as compared to those who didn't receive this agent (GI and GII, 9.5% and 14.35%, respectively). Metoclopramide decreased the incidence of nausea and vomiting in the recovery room, in patients who didn't receive N2O (GII). These patients remained in the recovery room for 90 minutes. Conclusions - N2O increases the incidence of nausea and vomiting and metoclopramide is effective in reducing these complications only in the recovery room.en
dc.description.affiliationDepartamento de Anestesiologia FMB-UNESP Distrito de Rubiao Junior, 18618-970-Botucatu-SP
dc.description.affiliationUnespDepartamento de Anestesiologia FMB-UNESP Distrito de Rubiao Junior, 18618-970-Botucatu-SP
dc.format.extent512-521
dc.identifierhttp://www.sba.com.br/arquivos/revista/rba/nov97512.pdf
dc.identifier.citationRevista Brasileira de Anestesiologia, v. 47, n. 6, p. 512-521, 1997.
dc.identifier.file2-s2.0-0030833006.pdf
dc.identifier.issn0034-7094
dc.identifier.lattes8226942130768820
dc.identifier.scopus2-s2.0-0030833006
dc.identifier.urihttp://hdl.handle.net/11449/65014
dc.language.isopor
dc.relation.ispartofRevista Brasileira de Anestesiologia
dc.relation.ispartofjcr0.850
dc.relation.ispartofsjr0,320
dc.rights.accessRightsAcesso aberto
dc.sourceScopus
dc.subjectAnesthetics: nitrous oxide
dc.subjectAntiemetics: metoclopramide
dc.subjectComplications: nausea, vomiting
dc.subjectSurgery: laparoscopy
dc.subjectalfentanil
dc.subjectantiemetic agent
dc.subjectatracurium
dc.subjectinhalation anesthetic agent
dc.subjectisoflurane
dc.subjectmetoclopramide
dc.subjectmidazolam
dc.subjectnitrous oxide
dc.subjectpropofol
dc.subjectadult
dc.subjectfemale
dc.subjecthuman
dc.subjectlaparoscopy
dc.subjectmajor clinical study
dc.subjectmuscle relaxation
dc.subjectnausea
dc.subjectoral drug administration
dc.subjectvomiting
dc.titleNausea e vomito em laparoscopia ginecologica: Efeitos do oxido nitroso e da metoclopramidapt
dc.title.alternativeNausea and vomiting following gynecological laparoscopy: Effects of nitrous oxide and metoclopramideen
dc.typeArtigo
dcterms.licensehttp://www.scielo.br/revistas/rba/paboutj.htm
unesp.author.lattes8226942130768820
unesp.campusUniversidade Estadual Paulista (Unesp), Faculdade de Medicina, Botucatupt

Arquivos

Pacote Original
Agora exibindo 1 - 1 de 1
Imagem de Miniatura
Nome:
2-s2.0-0030833006.pdf
Tamanho:
83.17 KB
Formato:
Adobe Portable Document Format
Baixar

Coleções

Artigos - Anestesiologia - FMB