Intraoperative nausea and vomiting during cesarean section under regional anesthesia

Balki, Mrinalini; Carvalho, José Carlos Almeida

doi:10.1016/j.ijoa.2004.12.004

Cited by 178 publications

(178 citation statements)

References 96 publications

Supporting

Mentioning

164

Contrasting

Unclassified

Order By: Relevance

“…In comparison of the number of attempts during CSE, it was observed that epidural space Turk J Anaesth Reanim 2014; 42: [23][24][25][26][27][28][29][30][31][32] was identified in the first attempt in 73.3% of subjects in sitting position and 40% of subjects in right lateral decubitus position. This difference may be attributed to the easiness of central block application in sitting position due to anatomical reasons, and the experience of the anaesthetist regarding the position of CSE.…”

Section: Discussionmentioning

confidence: 99%

“…The most frequent side effects associated with regional anaesthesia during intraoperative period are nausea and vomiting, hypotension, increased vagal activity due to sympathetic blockade and neuraxial opioid use, and surgical stimuli, uterotonic agents and movement may be counted among the non-anaesthetic reasons (30). When maternal positions in spinal or CSE anaesthesia were compared, the frequencies of intraoperative nausea and vomiting in lateral decubitus and sitting positions were found to be 53-6.6% and 50-3.3% and 30%-0 and 33%-0, respectively (11,18,19,21).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Comparison of Maternal and Neonatal Effects of Combined Spinal Epidural Anesthesia in the Sitting or Lateral Position During Elective Cesarean Section

Tan¹,

Günaydın²

2014

Turk J Anesth Reanim

View full text Add to dashboard Cite

Objective:Our goal was to demonstrate which position would be hemodynamically and technically better by comparing the effects of combined spinal epidural (CSE) in the sitting or lateral decubitus position for elective cesarean deliveries on maternal and neonatal parameters and ephedrine requirement.Methods: Sixty parturients were randomly assigned into two groups to perform CSE in the sitting (Group I, n=30) or right lateral decubitus position (Group II, n=30) using hyperbaric 10 mg bupivacaine and 20 µg fentanyl. Mean arterial pressure (MAP), heart rate (HR), and characteristics of sensory and motor block were recorded from intrathecal drug administration until the end of surgery. Ephedrine and 1 st analgesic requirement, number of attempts to perform CSE, incidence of paresthesia during spinal needle insertion, and Apgar scores were recorded.Results: Ephedrine requirements and HR changes were similar in both groups. However, MAP values at 45 min in Group II were significantly less than in Group I. Maximum sensory block levels in Group II were significantly higher than in Group I. Despite similar motor block recovery times in both groups, regression times of sensory block and 1st analgesic requirement in Group II were significantly longer than in Group I. Incidence of paresthesia due to spinal needle (3.3% versus 20% in Groups I and II, respectively) and number of attempts to perform CSE (26.7% versus 60% in Groups I and II, respectively) were significantly higher in Group II. Apgar scores were similar in both groups. Conclusion:Performing CSE in the sitting position would be safer and easier because higher and earlier onset of sensory block, and a greater number attempts at epidural insertion and paresthesia develop to spinal needle insertion in the right lateral position.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Comparison of Maternal and Neonatal Effects of Combined Spinal Epidural Anesthesia in the Sitting or Lateral Position During Elective Cesarean Section

Tan¹,

Günaydın²

2014

Turk J Anesth Reanim

View full text Add to dashboard Cite

show abstract

“…However, most studies focus only on the effects on the fetus and not on possible advantages for the parturient, which could justify the routine use of oxygen. Women undergoing cesarean section have an increased risk of PONV than non-pregnant patients undergoing other types of surgeries 25,26 . This risk can be related to the physiological changes of pregnancy, but also with other factors such as uterine handling, aortocaval compression leading to Induction-fetal extraction time (min) 36 ± 10 37 ± 11 33 ± 8 37 ± 12 36 ± 12 37 ± 11…”

Section: Discussionmentioning

confidence: 99%

“…*p < 0.05. 26 , including our hospital. The first study designed to test the efficacy of supplemental oxygen in reducing the incidence of PONV in neuro axis block for cesarean section did not observe any benefits of administering 70% oxygen after fetal extraction when compared with 21%, both on the incidence and in the severity of postoperative nausea and vomiting 25 .…”

Section: Discussionmentioning

confidence: 99%

Oxigênio suplementar e incidência de náuseas e vômitos perioperatórios no parto cesariano sob anestesia subaracnoidea

Pécora¹,

Malbouisson²,

Torres³

2009

Rev. Bras. Anestesiol.

View full text Add to dashboard Cite

Rev Bras AnestesiolARTIGO CIENTÍFICO 2009; 59: 5: 558-569 SCIENTIFIC ARTICLE RESUMO Pécora FST, Malbouisson LMS, Torres MLA -Oxigênio Suplementar e Incidência de Náuseas e Vômitos Perioperatórios no Parto Cesariano sob Anestesia Subaracnoidea. JUSTIFICATIVA E OBJETIVOS:Oxigênio suplementar pode reduzir a incidência de náuseas e vômitos pós-operatórios em pacientes submetidos à anestesia geral. O objetivo deste estudo foi testar a eficácia do oxigênio suplementar durante a cesariana eletiva sob anestesia subaracnoidea em diminuir a incidência de náuseas e vômitos perioperatórios. MÉTODO:Após indução de anestesia subaracnoidea padronizada, noventa e quatro parturientes submetidas ao parto operatório foram distribuídas de forma aleatória para receberem, através de cateter nasal tipo óculos, 4 L.min -1 de oxigênio (Grupo O) ou ar comprimido (Grupo S) até o final do procedimento. As pacientes foram inquiridas acerca da ocorrência de náuseas e vômitos durante a operação e nas primeiras seis e 24 horas de pós-parto. RESULTADOS:Os dois grupos mostraram-se comparáveis quanto às variáveis demográficas, perioperatórias e quanto aos dados do recém-nascido. No Grupo O, a incidência de náusea durante a operação nas primeiras 6 horas de pós-operatório e entre 6 e 24 horas de pós-operatório foi de 35%, 20% e 13%, respectivamente, enquanto no Grupo S foi de 35%, 30% e 19%, respectivamente. A incidência de vômito no Grupo O foi de 9%, 11% e 6% nos perío-dos correspondentes e no Grupo S 21%, 7% e 7%, respectivamente. Essas diferenças não foram significativas.CONCLUSÕES: Na população estudada, a oxigenoterapia suplementar desde a indução da anestesia até o término da operação não reduziu a incidência de náuseas ou vômitos intraoperatórios e pós-operatórios em mulheres submetidas ao parto cesariano sob anestesia subaracnoidea.Unitermos: CIRURGIA, Obstétrica: cesariana; COMPLICAÇÕES: náusea e vômito; TÉCNICAS ANESTÉSICAS, Regional: subaracnoidea. SUMMARY BACKGROUND AND OBJECTIVES:Supplemental oxygen can reduce the incidence of postoperative nausea and vomiting in patients under general anesthesia. The objective of the present study was to determine the efficacy of supplemental oxygen to reduce the incidence of perioperative nausea and vomiting in elective cesareans under subarachnoid block. METHODS:After induction of standardized subarachnoid block, 94 parturients undergoing surgical delivery were randomly divided to receive 4 L.min -1 of oxygen (Group O) or medical air (Group S) under nasal cannula throughout the procedure. Patients were questioned on the development of nausea and vomiting during the surgery and in the first six and 24 hours after the procedure. RESULTS:Demographic and perioperative parameters, as well as the data on the newborn, were comparable in both groups. In Group O, the incidence of nausea during the surgery, in the first 6 hours afterwards, and between 6 and 24 hours was 35%, 30%, and 19%, respectively, while in Group S, it was 35%, 30%, and 19%, respectively. In Group O, the incidence of vomiting was 9%...

show abstract

“…Patients who experience these symptoms consume more resources and require additional health care professional time than do those in whom these complications are avoided. 8 Despite major advances in spinal, epidural and combined spinal-epidural anesthesia techniques, intraoperative nausea and vomiting (IONV) are still present in a significant number of patients. These symptoms can be distressing and uncomfortable for patients and may have a negative impact on their overall birthing experience.…”

mentioning

confidence: 99%

Evaluation of granisetron as an antiemetic in patients undergoing abdominal hysterectomy under spinal anaesthesia

2017

View full text Add to dashboard Cite

Background: PONV most common complications related to surgery and anaesthesia despite major advances in spinal, epidural and combined spinal-epidural anesthesia techniques IONV are still present in a significant number of patients. Ondansetron, used for controlling PONV induced by chemotherapy or radiation. Recently 5HT3 receptor antagonist granisetron has more potent, selective and longer acting activity than ondansetron. Granisetron is more active for control of PONV in cisplatin induced vomiting than ondansetron. It also reduces PONV in strabismus repair, tonsillectomy, and general surgeries, it has less side effects as compared to ondansetron. Objective of the study was to study efficacy and safety of granisetron and compare it with ondansetron for prevention of IONV and PONV.Methods: 80 ASA grade I and II women undergoing abdominal hysterectomy under spinal anaesthesia were studied. Patients in group A received injection granisetron 2 mg and group B injection ondansetron 4 mg,10 minutes prior to induction of spinal anaesthesia. Main outcome measures were occurrence of nausea, retching or vomiting in intraoperative and postoperative period at 6, 12, 18 and 24 hours’ post-surgery. The response of patient to therapy and side effects were evaluated in both groups. The results were analyzed by ‘z’ test (p<0.5) considered significant.Results: Demographic characteristics of both groups were comparable patients in granisetron (80%) had more complete response as compared to ondansetron (47.5%). Adverse effects were lower in granisetron group.Conclusions: Granisetron 2 Mg has better efficacy and safety profile than ondansetron 4 Mg.

show abstract

Intraoperative nausea and vomiting during cesarean section under regional anesthesia

Cited by 178 publications

References 96 publications

Comparison of Maternal and Neonatal Effects of Combined Spinal Epidural Anesthesia in the Sitting or Lateral Position During Elective Cesarean Section

Comparison of Maternal and Neonatal Effects of Combined Spinal Epidural Anesthesia in the Sitting or Lateral Position During Elective Cesarean Section

Oxigênio suplementar e incidência de náuseas e vômitos perioperatórios no parto cesariano sob anestesia subaracnoidea

Evaluation of granisetron as an antiemetic in patients undergoing abdominal hysterectomy under spinal anaesthesia

Contact Info

Product

Resources

About