Evaluation of Effect of Ondansetron on Nausea and Vomiting after Elective Cholecystectomy Surgery in Women Older than 40 Years

Background: Postoperative nausea and vomiting is a common complication that cause patient’s illness, increase of hospitalization duration and costs, and in severe cases lead to dehydration, electrolyte imbalance, aspiration and pneumonia and even opening of surgical site sutures. Giving attention to...

Full description

Bibliographic Details
Main Authors: Mansour Safae, Sara Safi
Format: Article
Language:fas
Published: Isfahan University of Medical Sciences 2011-10-01
Series:مجله دانشکده پزشکی اصفهان
Subjects:
Online Access:http://jims.mui.ac.ir/index.php/jims/article/view/1046
_version_ 1797714833133535232
author Mansour Safae
Sara Safi
author_facet Mansour Safae
Sara Safi
author_sort Mansour Safae
collection DOAJ
description Background: Postoperative nausea and vomiting is a common complication that cause patient’s illness, increase of hospitalization duration and costs, and in severe cases lead to dehydration, electrolyte imbalance, aspiration and pneumonia and even opening of surgical site sutures. Giving attention to positive effect of Ondansetron in decreasing this complication we decided to evaluate its effect as prophylaxis and compare it with Dexamethasone as a gold standard and routine agent. Methods: This project is an interventional study that has done in year 2010 in Alzahra hospital of Isfahan, Iran. In this study 64 women older than 40 years whose candidate for an elective cholecystectomy surgery were studied in 2 groups. Patients were divided randomly to 2 groups: case and control. Control group received Dexamethasone and case group received Ondansetron before surgery. 4, 8, 12 and 24 hours after surgery the incidence of nausea and vomiting in patients were compared between 2 groups. Findings: The frequency of nausea and vomiting in 4, 8 and 12 hours after surgery was significantly lower in Ondansetron group but in 24 hours after surgery there was no difference between two groups. Repeated measure ANOVA test also demonstrated that the trend of improvement of nausea and vomiting in 24 hours after surgery was significantly better in Ondansetron group.   Conclusion: According to results of this study, Ondansetron has optimal effect in control of nausea and vomiting after elective cholecystectomy surgery and if there is no contraindication, we can prescribe it as prophylaxis.
first_indexed 2024-03-12T07:57:50Z
format Article
id doaj.art-6ea91d58021c4aa6b37c13ff34999e77
institution Directory Open Access Journal
issn 1027-7595
1735-854X
language fas
last_indexed 2024-03-12T07:57:50Z
publishDate 2011-10-01
publisher Isfahan University of Medical Sciences
record_format Article
series مجله دانشکده پزشکی اصفهان
spelling doaj.art-6ea91d58021c4aa6b37c13ff34999e772023-09-02T20:04:55ZfasIsfahan University of Medical Sciencesمجله دانشکده پزشکی اصفهان1027-75951735-854X2011-10-012914910211027730Evaluation of Effect of Ondansetron on Nausea and Vomiting after Elective Cholecystectomy Surgery in Women Older than 40 YearsMansour Safae0Sara Safi1Associate Professor, Department of Surgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, IranStudent of Medicine, Student Research Committee, School of Medicine, Isfahan University of Medical Sciences, Isfahan, IranBackground: Postoperative nausea and vomiting is a common complication that cause patient’s illness, increase of hospitalization duration and costs, and in severe cases lead to dehydration, electrolyte imbalance, aspiration and pneumonia and even opening of surgical site sutures. Giving attention to positive effect of Ondansetron in decreasing this complication we decided to evaluate its effect as prophylaxis and compare it with Dexamethasone as a gold standard and routine agent. Methods: This project is an interventional study that has done in year 2010 in Alzahra hospital of Isfahan, Iran. In this study 64 women older than 40 years whose candidate for an elective cholecystectomy surgery were studied in 2 groups. Patients were divided randomly to 2 groups: case and control. Control group received Dexamethasone and case group received Ondansetron before surgery. 4, 8, 12 and 24 hours after surgery the incidence of nausea and vomiting in patients were compared between 2 groups. Findings: The frequency of nausea and vomiting in 4, 8 and 12 hours after surgery was significantly lower in Ondansetron group but in 24 hours after surgery there was no difference between two groups. Repeated measure ANOVA test also demonstrated that the trend of improvement of nausea and vomiting in 24 hours after surgery was significantly better in Ondansetron group.   Conclusion: According to results of this study, Ondansetron has optimal effect in control of nausea and vomiting after elective cholecystectomy surgery and if there is no contraindication, we can prescribe it as prophylaxis.http://jims.mui.ac.ir/index.php/jims/article/view/1046OndansetronDexamethasonePostoperative Nausea and vomitingCholecystectomy
spellingShingle Mansour Safae
Sara Safi
Evaluation of Effect of Ondansetron on Nausea and Vomiting after Elective Cholecystectomy Surgery in Women Older than 40 Years
مجله دانشکده پزشکی اصفهان
Ondansetron
Dexamethasone
Postoperative Nausea and vomiting
Cholecystectomy
title Evaluation of Effect of Ondansetron on Nausea and Vomiting after Elective Cholecystectomy Surgery in Women Older than 40 Years
title_full Evaluation of Effect of Ondansetron on Nausea and Vomiting after Elective Cholecystectomy Surgery in Women Older than 40 Years
title_fullStr Evaluation of Effect of Ondansetron on Nausea and Vomiting after Elective Cholecystectomy Surgery in Women Older than 40 Years
title_full_unstemmed Evaluation of Effect of Ondansetron on Nausea and Vomiting after Elective Cholecystectomy Surgery in Women Older than 40 Years
title_short Evaluation of Effect of Ondansetron on Nausea and Vomiting after Elective Cholecystectomy Surgery in Women Older than 40 Years
title_sort evaluation of effect of ondansetron on nausea and vomiting after elective cholecystectomy surgery in women older than 40 years
topic Ondansetron
Dexamethasone
Postoperative Nausea and vomiting
Cholecystectomy
url http://jims.mui.ac.ir/index.php/jims/article/view/1046
work_keys_str_mv AT mansoursafae evaluationofeffectofondansetrononnauseaandvomitingafterelectivecholecystectomysurgeryinwomenolderthan40years
AT sarasafi evaluationofeffectofondansetrononnauseaandvomitingafterelectivecholecystectomysurgeryinwomenolderthan40years