Comparison of Prophylactic Antiemetic Effect of Ondansetron, Dexamethasone and Metoclopramide in Cesarean Delivery under General Anesthesia

Background: Positive effectiveness of antiemetic drugs was approved in reduction of post-operative nausea and vomiting (PONV). The purpose of this study was comparison of dexamethazone, ondansetron and metoclopramide in prevention of post-operative nausea and vomiting. Methods: 210 women candidates...

Full description

Bibliographic Details
Main Authors: Hamidreza Bahmani, Seyed Ebrahim Sadeghi, Ladan Hosseinipanah
Format: Article
Language:fas
Published: Isfahan University of Medical Sciences 2015-06-01
Series:مجله دانشکده پزشکی اصفهان
Subjects:
Online Access:http://jims.mui.ac.ir/index.php/jims/article/view/4639
_version_ 1797718656397869056
author Hamidreza Bahmani
Seyed Ebrahim Sadeghi
Ladan Hosseinipanah
author_facet Hamidreza Bahmani
Seyed Ebrahim Sadeghi
Ladan Hosseinipanah
author_sort Hamidreza Bahmani
collection DOAJ
description Background: Positive effectiveness of antiemetic drugs was approved in reduction of post-operative nausea and vomiting (PONV). The purpose of this study was comparison of dexamethazone, ondansetron and metoclopramide in prevention of post-operative nausea and vomiting. Methods: 210 women candidates for elective cesarean section under general anesthesia were divided in to three groups of 70. The groups received ondansetron, dexamethazone or metoclopramide near the end of the surgery. Post-operative nausea and vomiting was evaluated at 0, 2, 4 and 8 hours after the operation. The results were analyzed using Kruskal-Wallis test. Findings: Injection of all three drugs, ondansetron, metoclopramide and dexamethazane reduced post-operative nausea and vomiting. The rate of reduction of nausea and vomiting was significant in all 3 groups at 4 hours after the surgery. At this time, the dexamethazane group had the highest nausea and vomiting (P = 0.007). Conclusion: Ondansetron and metoclopramide can be used in the patients with elective cesarean section under general anesthesia for reduction of post-operative nausea and vomiting; the drugs showed more effectiveness with longer duration compared to dexamethasone.
first_indexed 2024-03-12T08:54:33Z
format Article
id doaj.art-236332dd17184860a7160e5e0357f33f
institution Directory Open Access Journal
issn 1027-7595
1735-854X
language fas
last_indexed 2024-03-12T08:54:33Z
publishDate 2015-06-01
publisher Isfahan University of Medical Sciences
record_format Article
series مجله دانشکده پزشکی اصفهان
spelling doaj.art-236332dd17184860a7160e5e0357f33f2023-09-02T16:09:49ZfasIsfahan University of Medical Sciencesمجله دانشکده پزشکی اصفهان1027-75951735-854X2015-06-01333305055141854Comparison of Prophylactic Antiemetic Effect of Ondansetron, Dexamethasone and Metoclopramide in Cesarean Delivery under General AnesthesiaHamidreza Bahmani0Seyed Ebrahim Sadeghi1Ladan Hosseinipanah2Assistant Professor, Department of Anesthesiology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, IranAssistant Professor, Department of Anesthesiology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, IranStudent of Medicine, School of Medicine, International Branch, Shiraz University of Medical Sciences, Shiraz, IranBackground: Positive effectiveness of antiemetic drugs was approved in reduction of post-operative nausea and vomiting (PONV). The purpose of this study was comparison of dexamethazone, ondansetron and metoclopramide in prevention of post-operative nausea and vomiting. Methods: 210 women candidates for elective cesarean section under general anesthesia were divided in to three groups of 70. The groups received ondansetron, dexamethazone or metoclopramide near the end of the surgery. Post-operative nausea and vomiting was evaluated at 0, 2, 4 and 8 hours after the operation. The results were analyzed using Kruskal-Wallis test. Findings: Injection of all three drugs, ondansetron, metoclopramide and dexamethazane reduced post-operative nausea and vomiting. The rate of reduction of nausea and vomiting was significant in all 3 groups at 4 hours after the surgery. At this time, the dexamethazane group had the highest nausea and vomiting (P = 0.007). Conclusion: Ondansetron and metoclopramide can be used in the patients with elective cesarean section under general anesthesia for reduction of post-operative nausea and vomiting; the drugs showed more effectiveness with longer duration compared to dexamethasone.http://jims.mui.ac.ir/index.php/jims/article/view/4639Cesarean sectionDexamethasoneOndansetronMetoclopramideNausea and vomiting
spellingShingle Hamidreza Bahmani
Seyed Ebrahim Sadeghi
Ladan Hosseinipanah
Comparison of Prophylactic Antiemetic Effect of Ondansetron, Dexamethasone and Metoclopramide in Cesarean Delivery under General Anesthesia
مجله دانشکده پزشکی اصفهان
Cesarean section
Dexamethasone
Ondansetron
Metoclopramide
Nausea and vomiting
title Comparison of Prophylactic Antiemetic Effect of Ondansetron, Dexamethasone and Metoclopramide in Cesarean Delivery under General Anesthesia
title_full Comparison of Prophylactic Antiemetic Effect of Ondansetron, Dexamethasone and Metoclopramide in Cesarean Delivery under General Anesthesia
title_fullStr Comparison of Prophylactic Antiemetic Effect of Ondansetron, Dexamethasone and Metoclopramide in Cesarean Delivery under General Anesthesia
title_full_unstemmed Comparison of Prophylactic Antiemetic Effect of Ondansetron, Dexamethasone and Metoclopramide in Cesarean Delivery under General Anesthesia
title_short Comparison of Prophylactic Antiemetic Effect of Ondansetron, Dexamethasone and Metoclopramide in Cesarean Delivery under General Anesthesia
title_sort comparison of prophylactic antiemetic effect of ondansetron dexamethasone and metoclopramide in cesarean delivery under general anesthesia
topic Cesarean section
Dexamethasone
Ondansetron
Metoclopramide
Nausea and vomiting
url http://jims.mui.ac.ir/index.php/jims/article/view/4639
work_keys_str_mv AT hamidrezabahmani comparisonofprophylacticantiemeticeffectofondansetrondexamethasoneandmetoclopramideincesareandeliveryundergeneralanesthesia
AT seyedebrahimsadeghi comparisonofprophylacticantiemeticeffectofondansetrondexamethasoneandmetoclopramideincesareandeliveryundergeneralanesthesia
AT ladanhosseinipanah comparisonofprophylacticantiemeticeffectofondansetrondexamethasoneandmetoclopramideincesareandeliveryundergeneralanesthesia