Journal of Emergency Health Care
Formerly known as: International Journal of Medical Investigation
Volume 12, Issue 1 (3-2023)
J Emerg Health Care 2023, 12(1): 15-23 |
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Adibi P. The Efficacy Of Preoperative Colloid Administration On Postoperative Nausea And Vomiting Among Patients Undergoing Laparoscopic Cholecystectomy. J Emerg Health Care 2023; 12 (1) :15-23
URL: http://intjmi.com/article-1-951-en.html
URL: http://intjmi.com/article-1-951-en.html
Anesthesiology, Critical Care and Pain Management Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
Abstract: (1517 Views)
Background:
Nausea and vomiting together are second most postoperative complications. Due to fewer adverse effects and less invasive nature of laparoscopic surgery in contrast to open surgery, the laparoscopic approach is trending however in the laparoscopic approach due to abdominal distention and pneumoperitoneum nausea and vomiting are more frequent.
Materials and methods: In this clinical trial study 72 patients 20 to 65 ages scheduled for elective cholecystectomy in 2019 in Shahid Mohammadi hospital. Patients were randomly assigned to 1 of 2 treatment groups the patients in group 1 or crystalloid group patients received 15 ml per kg ringer lactate and those in group 2 or colloid group received 7 ml per kg Voluven (hydroxyethyl starch). Number of patients experienced nausea and vomiting and severity was evaluated based on VAS in addition to other vital signs at 0 and 30 minutes and 1 and 4 hours postoperatively and then every 4 hours until 24 hours.
Results: The average age in the colloid group was 37.36±13.32 and in the crystalloid group was42.11±13.69 and the average age in the colloid group was 72.39±19.23 and in the crystalloid group was 71.75±17.65 and in this study there was not a significant difference between two groups in number and severity of nausea and vomiting.
Conclusion: In the current study there was not a significant difference in systolic blood pressure, diastolic blood pressure, mean arterial pressure, oxygen saturation, and mean heart rate as well as there was not a significant difference between in form of fluid usage and number of patients with nausea and vomiting and severity of these complications.
Nausea and vomiting together are second most postoperative complications. Due to fewer adverse effects and less invasive nature of laparoscopic surgery in contrast to open surgery, the laparoscopic approach is trending however in the laparoscopic approach due to abdominal distention and pneumoperitoneum nausea and vomiting are more frequent.
Materials and methods: In this clinical trial study 72 patients 20 to 65 ages scheduled for elective cholecystectomy in 2019 in Shahid Mohammadi hospital. Patients were randomly assigned to 1 of 2 treatment groups the patients in group 1 or crystalloid group patients received 15 ml per kg ringer lactate and those in group 2 or colloid group received 7 ml per kg Voluven (hydroxyethyl starch). Number of patients experienced nausea and vomiting and severity was evaluated based on VAS in addition to other vital signs at 0 and 30 minutes and 1 and 4 hours postoperatively and then every 4 hours until 24 hours.
Results: The average age in the colloid group was 37.36±13.32 and in the crystalloid group was42.11±13.69 and the average age in the colloid group was 72.39±19.23 and in the crystalloid group was 71.75±17.65 and in this study there was not a significant difference between two groups in number and severity of nausea and vomiting.
Conclusion: In the current study there was not a significant difference in systolic blood pressure, diastolic blood pressure, mean arterial pressure, oxygen saturation, and mean heart rate as well as there was not a significant difference between in form of fluid usage and number of patients with nausea and vomiting and severity of these complications.
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