Recovery After Propofol With and Without Intraoperative Fentanyl in Patients Undergoing Ambulatory Gynecologic Laparoscopy

Sukhani, Radha; Vazquez, John; Pappas, Ana Lucia; Frey, Kere; Aasen, Mark; Slogoff, Stephen

doi:10.1213/00000539-199611000-00013

Cited by 62 publications

(14 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The recommended dose for dimenhydrinate is 1 to 2 mg·kg -1 in adults and 0.5 mg·kg -1 in children (IIA). 30 The NNT (95% CI) to stay completely free from nausea was 8 (3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20) during the first six hours postoperatively and 6 (3-33) for the period from zero to 48 hr. For vomiting, the NNT (95% CI) was 7 (4-50) and 5 (3)(4)(5)(6)(7)(8) for the early and the 48-hr period respectively.…”

Section: Other Older Generation Antiemeticsmentioning

confidence: 99%

“…36 Avoidance of nitrous oxide (which increases postoperative vomiting) and volatile agents (which cause PONV for up to two hours postoperatively), and minimizing intraoperative and postoperative opiates, also reduce the incidence of PONV. 2,[8][9][10][11][12][13] The use of large doses of neostigmine (> 2.5 mg) increases the risk of PONV. 14 Other strategies that might reduce the incidence of PONV include the use of supplemental intraoperative oxygen (FIO 2 = 0.8), 103,104 adequate hydration especially using colloids, 106,107 anxiolysis with benzodiazepines, 122 and the use of α 2 -agonists.…”

Section: Combination Antiemetic Therapy and Multimodal Approachmentioning

confidence: 99%

“…Identification of patients at high risk for PONV allows targeting prophylaxis to those who will benefit most from it. Patient, anesthesia, and surgery related risk factors have been identified [8][9][10][11][12][13][14][15][16][17][18] (Table II). There is controversy regarding a number of previously reported risk factors.…”

mentioning

confidence: 99%

See 2 more Smart Citations

Evidence-based management of postoperative nausea and vomiting: a review

Habib

Gan

2004

Can J Anesth/J Can Anesth

196

106

View full text Add to dashboard Cite

P Pu ur rp po os se e: : To provide evidence-based guidelines for the prophylaxis and treatment of postoperative nausea and vomiting (PONV).S So ou ur rc ce e: : Literature from randomized controlled trials, systematic reviews, logistic regression analyses and expert opinion in the management of PONV.P Pr ri in nc ci ip pa al l f fi in nd di in ng gs s: : The etiology of PONV is multifactorial. Patient, anesthesia, and surgery related risk factors have been identified. Universal PONV prophylaxis is not cost-effective. Identification of patients at high-risk of PONV allows targeting prophylaxis to those who will benefit most from it. No prophylaxis is needed for patients at low risk for PONV. For patients at moderate risk for PONV, prophylaxis using a single antiemetic or a combination of two agents should be considered. Double and triple antiemetic combinations should be considered for patients at high risk for PONV. Furthermore, a multimodal approach should be adopted incorporating steps to keep the baseline risk of PONV low. The optimum cost-effective approach to the management of PONV will differ between an ambulatory centre and an inpatient hospital setting. For the treatment of established PONV in patients who failed prophylaxis, patients should not receive a repeat dose of the prophylactic antiemetic. Rather, a drug acting at a different receptor should be used. Beyond six hours after surgery, patients can be treated with any of the agents used for prophylaxis, except dexamethasone and transdermal scopolamine.C Co on nc cl lu us si io on n: : PONV are common after anesthesia and surgery. We provided evidence-based guidelines for the management of this problem based on the available literature. Objectif : Énoncer des lignes de conduite fondées sur des données probantes pour la prévention et le traitement des nausées et des vomissements postopératoires (NVPO). Source : Les publications d'essais contrôlés et randomisés, les études méthodiques, les analyses de régression logistique et l'opinion d'experts sur le traitement des NVPO. Constatations principales : L'origine des NVPO est multifactorielle. Les facteurs de risque reliés au patient, à l'anesthésie et au type de chirurgie sont connus. La prévention universelle des NVPO n'est pas rentable. L'identification des patients à haut risque de NVPO permet

show abstract

Section: Other Older Generation Antiemeticsmentioning

confidence: 99%

Section: Combination Antiemetic Therapy and Multimodal Approachmentioning

confidence: 99%

See 1 more Smart Citation

Evidence-based management of postoperative nausea and vomiting: a review

Habib

Gan

2004

Can J Anesth/J Can Anesth

196

106

View full text Add to dashboard Cite

show abstract

“…Furthermore, the initial loading dose of propofol in our patients was similar to the loading doses used by other studies that report emergence within 20-25 min of discontinuing propofol. [12][13][14][15] To the best of our knowledge, this has not been reported previously.…”

Section: Discussionmentioning

confidence: 60%

Delayed awakening in dystonia patients undergoing deep brain stimulation surgery

Trombetta

Deogaonkar

et al. 2010

Journal of Clinical Neuroscience

View full text Add to dashboard Cite

“…Opioid-induced hyperalgesia can occur in a subset of patients, for currently undefinable reasoning. Increased post-operative pain scores and opioid requirements have been reported in people following administration of a single opioid-containing anaesthetic (Sukhani et al, 1996;Chia et al, 1999;Guignard et al, 2000;Bakan et al, 2015). Administration of opioids initially produces analgesia but after a period of time hyperalgesia may be induced (Angst and Clark, 2006).…”

Section: Introductionmentioning

confidence: 99%

Opioid-free anaesthesia in three dogs

White¹,

Mair²,

Martínez-Taboada³

2017

Open Vet J.

View full text Add to dashboard Cite

Opioid-free anaesthesia (OFA) is a relatively new and growing field in human medicine. There are multiple motivations behind this emerging practice with the recognition of several serious potential opioid-related adverse effects including opioid induced hyperalgesia, opioid tolerance and immunomodulatory effects of opioids. Opioids have long been the mainstay of veterinary anaesthesia and pain management practice. The feasibility of OFA in veterinary patients is presented here. A case series of three dogs that underwent OFA for canine ovariohysterectomy is reported. The authors conclude OFA is possible in veterinary medicine; however the move away from the familiar effects of opioids perioperatively is challenging. Gaining experience with these types of protocols for standard procedures in healthy animals, such as neutering, will provide the anaesthetist with the building blocks for more invasive surgeries.

show abstract

Recovery After Propofol With and Without Intraoperative Fentanyl in Patients Undergoing Ambulatory Gynecologic Laparoscopy

Cited by 62 publications

References 18 publications

Evidence-based management of postoperative nausea and vomiting: a review

Evidence-based management of postoperative nausea and vomiting: a review

Delayed awakening in dystonia patients undergoing deep brain stimulation surgery

Opioid-free anaesthesia in three dogs

Contact Info

Product

Resources

About