Effect of supplemental pre‐operative fluid on postoperative nausea and vomiting*

Ali, Seyed; Taguchi, Akiko; Holtmann, Barbel; Kurz, Andrea

doi:10.1046/j.1365-2044.2003.03262.x

Cited by 75 publications

(61 citation statements)

References 27 publications

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“…anaesthesia (20), liberal fluid administration (13,21) and prophylactic antiemetic therapy including serotonergic receptor antagonists (22)(23)(24), dexamethasone (12,25) or combination therapies (4,(26)(27)(28). This is supported by our current anaesthetic regimen, in which moderate PONV was seen in 11% and severe PONV in 2%.…”

Section: Ponvsupporting

confidence: 53%

Post‐operative recovery profile after laparoscopic cholecystectomy: a prospective, observational study of a multimodal anaesthetic regime

Jensen

Kehlet

Lund

2007

Acta Anaesthesiol Scand

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Background: Laparoscopic cholecystectomy is now often an ambulatory procedure, but dependent on short-term postoperative complaints of pain and post-operative nausea and vomiting (PONV). The efficacy of post-anaesthesia care units (PACUs) is therefore important to facilitate return to normal functions. We investigated the feasibility and efficacy of a standardized, evidence-based anaesthesia/analgesic regime to identify residual problems in the early post-operative phase. Methods: One hundred and thirty-four consecutive patients admitted for elective laparoscopic cholecystectomy at Hvidovre University Hospital between 15 March and 30 September 2005 were included in the study. The standardized, evidence-based regime consisted of total intravenous (i.v.) anaesthesia (propofolremifentanil), well-defined fluid therapy, dexamethasone, ketorolac, ondansetron, sufentanil and incisional bupivacaine intraoperatively, and in the PACU on demand (prn) administration of sufentanil, morphine, paracetamol, ondansetron, droperidol, oral fluids and oxygen (if SpO 2 < 93%) with PACU discharge using a modified Aldrete score. Results: Protocol violations were moderate and occurred unsystematically, 8% had medical violations and 10% did not receive the pre-planned fluid amount. Severe PONV was seen in 2%.

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Section: Ponvsupporting

confidence: 53%

Post‐operative recovery profile after laparoscopic cholecystectomy: a prospective, observational study of a multimodal anaesthetic regime

Jensen

Kehlet

Lund

2007

Acta Anaesthesiol Scand

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“…6 Salah satu pendekatan nonfarmakologi yang murah, mudah, serta aman adalah mencukupi status hidrasi. 6,7 Beberapa penelitian dilakukan untuk mengetahui pengaruh pemberian cairan praoperatif terhadap kejadian mual muntah pascaoperasi. 4,6,8 Penelitian tersebut dilakukan melalui berbagai cara serta intervensi, seperti jumlah, tipe, dan waktu pemberian cairan.…”

Section: Pendahuluanunclassified

“…4,7,12,15,16 Penelitian tersebut ingin menilai efektivitas penggunaan cairan praoperatif sebagai salah satu metode mencegah kejadian mual muntah pascaoperasi. Penggunaan cairan praoperatif yang efektif tentu ditunjukkan dengan angka kejadian mual muntah pascaoperasi yang lebih rendah bila dibandingkan dengan kelompok kontrol.…”

unclassified

Efektivitas Pemberian Cairan Praoperatif Ringer Laktat 2 mL/kgBB/jam Puasa untuk Mencegah Mual Muntah Pascaoperasi

Wijaya¹,

Fithrah²,

Marsaban³

et al. 2014

jap

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AbstrakTeknik nonfarmakologi yang dapat dilakukan untuk menurunkan angka kejadian mual muntah pascaoperasi adalah pemberian cairan praoperatif. Tujuan penelitian ini untuk mengetahui efektivitas pemberian cairan praoperatif Ringer laktat 2 mL/kgBB/jam puasa untuk menurunkan angka kejadian mual muntah pascamastektomi. Penelitian ini merupakan uji klinis acak yang dilakukan pada bulan Maret-April 2013 di Rumah Sakit Kanker Dharmais, Rumah Sakit Persahabatan, Rumah Sakit Fatmawati, dan Rumah Sakit Cipto Mangunkusumo Jakarta, pada pasien status fisik American Society of Anesthesiologist (ASA) 1-2. Sebanyak 102 pasien diacak ke dalam kelompok hidrasi dan kelompok kontrol. Analisis data dilakukan menggunakan uji chi-kuadrat. Terdapat perbedaan yang signifikan dalam kejadian mual pada 0-1 jam pascaoperasi (kelompok hidrasi 20% vs kelompok kontrol 39%) dan pada 0-24 jam pascaoperasi (kelompok hidrasi 22% vs kelompok kontrol 41%). Walaupun tidak berbeda secara statistik, angka kekerapan mual pada 1-24 jam pascaoperasi lebih rendah pada kelompok hidrasi 12% (6) dibandingkan dengan kelompok kontrol 23% (12). Tidak ada perbedaan secara statistik pada angka kekerapan muntah di kedua kelompok penelitian. Pemberian cairan praoperatif Ringer laktat 2 mL/kgBB/jam puasa efektif untuk menurunkan angka kejadian mual pascaoperasi mastektomi pada 1 jam pertama pascaoperasi.Kata kunci: Cairan praoperatif, mastektomi, mual muntah pascaoperasi Effectiveness of Pre-operative Lactated Ringer's Solution 2 mL/kgBW/h in Fasting Patients to Prevent Post-operative Nausea and Vomiting AbstractNon pharmacologic approaches to overcome post operative nausea and vomiting include giving preoperative hydration. The objective of this study was to learn the efficacy of pre-operative lactated Ringer's solution (2 mL/kgBW/hour) in fasting patients to overcome the post-operative nausea and vomiting in mastectomy surgery. This study was a randomized clinical trial that conducted in March to April 2013 in Dharmais Hospital-National Cancer Center, Persahabatan Hospital, Fatmawati Hospital, and Rumah Sakit Cipto Mangunkusumo Jakarta to patients with American Society of Anesthesiologist (ASA) physical status 1-2. A total of 102 patients were randomized into the hydration group and control group. Data analysis was performed using chi-square test or appropriate test using SPSS ver. 15. There were statistically significant differences in the incidence of nausea at 0-1 hour post-operative (19.6% in hydration group vs. 39.2% in control group) and at 0-24 hours post-operative (21.6% in hydration group vs. 41.2% control group). The incidence of 1-24 hours PONV, although not statistically significant, was higher in the control group (11.8% in hydration group vs. 23.5% in control group). There was no difference in vomiting incidence between the two groups. Pre-operative lactated Ringer's solution 2 mL/kgBW/hour in fasting patients effectively reduces the incidence of post-operative nausea one hour after operation.

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“…So wird in der Regel bei großchirur-gischen Eingriffen, wie z. B. in der Abdominalchirurgie, mehr Flüssigkeit verabreicht als bei oberflächlichen Eingriffen [3,84]. Dies liegt zum einen daran, dass größere Operationen meistens mit einer längeren Dauer einhergehen und manche angewandte Konzepte zur perioperativen Flüssigkeitssubstitution sich auf Milliliter pro Stunde beziehen [26,94].…”

Section: Intraoperativunclassified

“…Neben qualitativen (Art des Flüssigkeitsersatzmit-tels, Inhaltstoffe, Konzentrationen, Verabreichungsweg) stehen v. a. quantitative Kenndaten (Menge) des Volumenersatzmittels im Mittelpunkt der derzeitigen Forschung [26,82,100,140]. Dabei zeigt es sich, dass ein patienten-und eingrifforientiertes Management der perioperativen Flüssigkeitsgabe zu einer Reduktion der perioperativen Komplikationen, der Morbidität und der Letalität führt, und nicht zuletzt durch eine Senkung der Krankenhausverweildauer zu einer Minderung der medizinischen Kosten [3,26,82,145].…”

unclassified

Perioperative fluid management

Zausig

Weigand²,

Graf

2006

Anaesthesist

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Optimal perioperative fluid management is still controversial. Besides well known perioperative hypovolaemia, hypervolaemia has an influence on perioperative morbidity and mortality, particularly with regard to the patient's medical history, a reduced cardiac and pulmonal function and the operation itself. The concepts of preoperative, intraoperative and postoperative fluid administration are neither adequately validated, nor sufficiently integrated into a perioperative concept. At the present, moderate fluid administration to improve preoperative and postoperative outcome is safe in minor or medium surgical procedures. High-risk surgical patients benefit from a time-oriented or/and goal-oriented monitored fluid therapy. In the past only little attention has been concentrated on postoperative fluid management, but may be stimulated by the new concepts of fast track surgery.

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Effect of supplemental pre‐operative fluid on postoperative nausea and vomiting*

Cited by 75 publications

References 27 publications

Post‐operative recovery profile after laparoscopic cholecystectomy: a prospective, observational study of a multimodal anaesthetic regime

Post‐operative recovery profile after laparoscopic cholecystectomy: a prospective, observational study of a multimodal anaesthetic regime

Efektivitas Pemberian Cairan Praoperatif Ringer Laktat 2 mL/kgBB/jam Puasa untuk Mencegah Mual Muntah Pascaoperasi

Perioperative fluid management

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