The effect of fentanyl addition to bupivacaine on shivering and vomiting nausea in patients undergoing femoral fracture surgery by spinal anesthesia: A double-blind randomized clinical trial

vagharfard, javad; Rastgarian, Ahmad; Rahmanian, Mohammad Reza; pourmokhtari, masomeh; damshenas, mohammad hasan; taban, samira; Zabetian, Hassan; kalani, navid; Hatami, Naser

doi:10.52547/jmj.18.4.2

Cited by 2 publications

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“…Literature showed that one third of postoperative patients experienced moderate to severe nausea and vomiting following general anesthesia [ 6 ]. Nausea and vomiting are also the second most commonly reported complaint following spinal anesthesia [ 7 ]. In a study on orthopedic patients who had undergone surgery, 59.3% and 39.0% of patients reported nausea and vomiting, respectively [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

The effect of lemon inhalation aromatherapy on pain, nausea, as well as vomiting and neurovascular assessment in patients for lower extremity fracture surgery: a randomized trial

Rambod

Pasyar

Karimian

2023

BMC Complement Med Ther

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Background Complementary and integrative medicine may be effective for postoperative outcomes. This study aimed to determine the effect of lemon inhalation aromatherapy on pain, nausea, and vomiting and neurovascular assessment in patients for lower extremity fracture surgery. Methods This is a randomized clinical trial study. Ninety patients who had undergone lower extremity fracture surgery were randomly assigned to the intervention (lemon aromatherapy) and control groups. Lemon aromatherapy was started in the morning of the surgery and extended at two-hour intervals until the end of the surgery, in the recovery room, and 16 h after surgery. Numerical pain and nausea and vomiting scales, the Rhodes Index of Nausea, Vomiting, and Retching, and the WACHS Neurovascular Observation Chart were used to assess the outcomes before and after the intervention (in the recovery room and 4, 8, 12, and 16 h post-surgery). The data were analyzed using the Wilcoxon test, ANCOVA, and Repeated Measure ANCOVA. Results A significant difference was observed between the groups in terms of the intensity of pain (P < 0.001) and nausea and vomiting (P = 0.001) during the study period. Moreover, a significant difference was found between groups as to the frequency and severity of nausea, vomiting, and retching. The amount and duration of postoperative vomiting and nausea were significantly lower in the intervention group compared to the control group. In addition, lemon inhalation aromatherapy decreased the frequency of anti-emetic drug administration in the recovery room (P = 0.04) and 16 h post-surgery (P = 0.03). Conclusions This study indicated that aromatherapy reduced pain intensity, postoperative nausea, vomiting, and retching, as well as the incidence of anti-emetic drug administration. Therefore, using lemon inhalation aromatherapy to relieve pain and reduce nausea and vomiting is suggested for lower extremity fracture patients who have undergone surgery. Trial registration This study was registered in the Iranian Registry of Clinical Trail (Number = 57,331, IRCT20130616013690N10, approved 24/07/2021) (https://www.irct.ir/trial/57331).

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Section: Introductionmentioning

confidence: 99%

The effect of lemon inhalation aromatherapy on pain, nausea, as well as vomiting and neurovascular assessment in patients for lower extremity fracture surgery: a randomized trial

Rambod

Pasyar

Karimian

2023

BMC Complement Med Ther

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“…Risk factors for this type of headache include sudden cessation of caffeine consumption, previous headache history, dehydration, spinal needle diameter, number of dural punctures, and previous history of spinal headaches. The diagnosis of PDPH, in the case of ruling out other factors, is in the form of pain that is aggravated by moving the head and gets worse when standing and better when lying down (2,3). An increase in headaches in the standing position is a necessary condition for diagnosing PDPH (4).…”

Section: Introductionmentioning

confidence: 99%

Comparison of the Effects of Propofol and Midazolam Sedation on Post-dural Puncture Headache

Khodadadi,

Pouladkhay,

Talaie

et al. 2023

Ann Mil Health Sci Res

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Background: Post-dural puncture headache (PDPH) is a common side effect after spinal anesthesia. Objectives: This study aimed to compare the sedative dose of propofol and midazolam in reducing headaches after spinal anesthesia. Methods: In order to conduct this study, 80 candidates for spinal anesthesia were divided into two groups, A and B. Both groups received spinal anesthesia with marcaine. In group A, propofol was infused slowly at a dose of 30 µg per minute, and in group B, 1 mg midazolam was injected intravenously. In the two groups, the incidence and intensity of headaches were measured using the VAS pain scale. Data were analyzed using Mann-Whitney and t-tests at a significance level of 0.05. Results: In this study, 65% (52) were male and 35% (28) were female. There was no significant difference between the two groups in terms of demographic information (P > 0.05). In the propofol group, the incidence and severity of headaches were significantly lower than in the midazolam group (P < 0.01). Conclusions: This study's results indicated that administering low-dose propofol as a sedative during spinal anesthesia may be more effective in reducing PDPH than midazolam.

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The effect of fentanyl addition to bupivacaine on shivering and vomiting nausea in patients undergoing femoral fracture surgery by spinal anesthesia: A double-blind randomized clinical trial

Cited by 2 publications

References 0 publications

The effect of lemon inhalation aromatherapy on pain, nausea, as well as vomiting and neurovascular assessment in patients for lower extremity fracture surgery: a randomized trial

The effect of lemon inhalation aromatherapy on pain, nausea, as well as vomiting and neurovascular assessment in patients for lower extremity fracture surgery: a randomized trial

Comparison of the Effects of Propofol and Midazolam Sedation on Post-dural Puncture Headache

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