Effect of intraoperative intravenous crystalloid infusion on postoperative nausea and vomiting after gynaecological laparoscopy: comparison of 30 and 10 ml kg−1

Magner, J.J.; McCaul, Conán; Carton, Edmund; Gardiner, J.; Buggy, Donal J.

doi:10.1093/bja/aeh219

Cited by 102 publications

(70 citation statements)

References 40 publications

(32 reference statements)

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“…We (28) and others (29) have shown that supplemental perioperative fluid administration reduces the risk of postoperative nausea and vomiting. For example, patients given a loading dose of 15 mL/kg crystalloid experienced less nausea and vomiting after gynecologic surgery than those given 2 mL/kg (28).…”

Section: Discussionmentioning

confidence: 89%

Supplemental Intravenous Crystalloid Administration Does Not Reduce the Risk of Surgical Wound Infection

Kabon¹,

Akça²,

Taguchi³

et al. 2005

Anesthesia & Analgesia

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Wound perfusion and oxygenation are important determinants of the development of postoperative wound infections. Supplemental fluid administration significantly increases tissue oxygenation in surrogate wounds in the subcutaneous tissue of the upper arm in perioperative surgical patients. We tested the hypothesis that supplemental fluid administration during and after elective colon resections Implications: Supplemental perioperative intravenous fluid administration did not reduce the rate of wound infection. The apparent lack of benefit may have resulted because hydration's effect on intestinal oxygenation is modest or because the statistical power of our study was limited. Nonetheless, our results suggest that supplemental hydration in the range tested does not impact wound infection rate. were randomly assigned to small (n=124, 8 mL·kg -1 ·h -1 ) or large volume (n=129, 16-18 mL·kg -1 ·h -1 ) fluid management. Our major outcomes were two distinct criteria for diagnosis of surgical wound infections: 1) purulent exudate combined with a culture positive for pathogenic bacteria and 2) Center for Disease Control criteria for diagnosis of surgical wound infections. All wound infections diagnosed using either criterion by a blinded observer in the 15 days following surgery were considered in the analysis. Wound healing was evaluated with the ASEPSIS scoring system. Of the patients given small fluid administration, 14 had surgical wound infections; 11 given large fluid therapy had infections, P=0.46. ASEPSIS wound healing scores were similar in both groups: 7±16 (small volume) vs. 8±14 (large volume), P=0.70. Our results suggest that supplemental hydration in the range tested does not impact wound infection rate. NIH Public AccessAuthor Manuscript Anesth Analg. Author manuscript; available in PMC 2006 November 1.

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Section: Discussionmentioning

confidence: 89%

Supplemental Intravenous Crystalloid Administration Does Not Reduce the Risk of Surgical Wound Infection

Kabon¹,

Akça²,

Taguchi³

et al. 2005

Anesthesia & Analgesia

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“…90 Using a rapid infusion of 30 mL·kg -1 of iv isotonic solution, the severity of nausea and the incidence of vomiting were reduced, in comparison to 10 mL·kg -1 volume loading in ambulatory laparoscopic gynecology. 91 However, dizziness, thirst, and opioid consumption were not different between groups in that trial. Knowledge of these factors warrants specific fluid management strategies in ambulatory surgery to minimize the likelihood of delayed discharge and to maximize patient satisfaction.…”

Section: Factors Delaying Discharge Following Ambulatory Surgerymentioning

confidence: 72%

Factors affecting recovery and discharge following ambulatory surgery

Awad

Chung

2006

Can J Anesth/J Can Anesth

141

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“…18,19 Induction of anesthesia in which systolic pressures decrease 35% is associated with a higher incidence of PONV than is induction in which systolic pressures decrease less. 17 Preliminary reports 19,20 of more aggressive preoperative hydration suggest that this intervention can diminish PONV, but the mechanism by which the reduction occurs is unclear.…”

Section: Angela Smith Collins Rn Dsn Acns Bc Ccnsmentioning

confidence: 99%

Postoperative Nausea and Vomiting in Adults: Implications for Critical Care

Collins

2011

Critical Care Nurse

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Postoperative nausea and vomiting is a dreaded, uncomfortable, and unpleasant patient experience that is also a factor contributing to adverse outcomes in postoperative recovery. The key to management of this concern is to identify high-risk patients and to develop a systematic method of assessment, intervention, and evaluation within the perianesthesia care continuum. This discussion outlines the wide range of pharmacological and alternative therapies that are available in clinical practice with a case study to illustrate incorporation of these interventions in critically ill patients.

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Effect of intraoperative intravenous crystalloid infusion on postoperative nausea and vomiting after gynaecological laparoscopy: comparison of 30 and 10 ml kg−1

Abstract: I.V. administration of CSL 30 ml kg(-1) to healthy women undergoing day-case gynaecological laparoscopy reduced the incidence of vomiting, nausea and anti-emetic use when compared with CSL 10 ml kg(-1).

Cited by 102 publications

References 40 publications

Supplemental Intravenous Crystalloid Administration Does Not Reduce the Risk of Surgical Wound Infection

Supplemental Intravenous Crystalloid Administration Does Not Reduce the Risk of Surgical Wound Infection

Factors affecting recovery and discharge following ambulatory surgery

Postoperative Nausea and Vomiting in Adults: Implications for Critical Care

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