Comparing the prophylaxis effect of Ondansetron and Metoclopramide against intraoperative nausea and vomiting during spinal anesthesia for cesarean section

Background and Objective: Nausea and vomiting are complications of cesarean section (C/S) during spinal anesthesia and different methods have been suggested to prevent it. The aim of this study was to compare incidence of intraoperative nausea and vomiting (IONV) during cesarean section (S/C) under...

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Main Authors: H Zahedi, L Rouzbeh Kargar
Format: Article
Language:English
Published: Babol University of Medical Sciences 2004-07-01
Series:Majallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul
Subjects:
Online Access:http://jbums.org/article-1-2689-en.html
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author H Zahedi
L Rouzbeh Kargar
author_facet H Zahedi
L Rouzbeh Kargar
author_sort H Zahedi
collection DOAJ
description Background and Objective: Nausea and vomiting are complications of cesarean section (C/S) during spinal anesthesia and different methods have been suggested to prevent it. The aim of this study was to compare incidence of intraoperative nausea and vomiting (IONV) during cesarean section (S/C) under spinal anesthesia. Methods: This double-blind and placebo-controlled study was performed on 150 ASA 1;2 women submitted for spinal anesthesia scheduled C/S. They were divided into three groups: 4mg ondansetron, 10mg metoclopramide or saline were administered I.V after clamping of umbilical cord, depending on their treatment group. After that treatment, if INOV appeared or the patients had no subside completely after 5 minutes, the subjects were treated with droperidol. Findings: Nausea and vomiting were not seen in 91.8% of the ondansetron group, 91.6% of the metoclopramide group and 60% of the placebo group (P<0.001). There was no significant difference between the first and second groups. Emetic symptoms were more frequent after clamping the umbilical cord (25.9%) than prior to it (16.3%) (P<0.05). Conclusion: According to the results, there was no significant difference between ondansetron and metoclopramide. For reducing IONV, it is recommended to use metoclopramide for preventing intraoperative nausea vomiting during spinal anesthesia for C/S.
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spelling doaj.art-a68b0a48a08847eeaf57012b1a943b3b2022-12-21T19:29:46ZengBabol University of Medical SciencesMajallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul1561-41072251-71702004-07-01633236Comparing the prophylaxis effect of Ondansetron and Metoclopramide against intraoperative nausea and vomiting during spinal anesthesia for cesarean sectionH Zahedi0L Rouzbeh Kargar1 Background and Objective: Nausea and vomiting are complications of cesarean section (C/S) during spinal anesthesia and different methods have been suggested to prevent it. The aim of this study was to compare incidence of intraoperative nausea and vomiting (IONV) during cesarean section (S/C) under spinal anesthesia. Methods: This double-blind and placebo-controlled study was performed on 150 ASA 1;2 women submitted for spinal anesthesia scheduled C/S. They were divided into three groups: 4mg ondansetron, 10mg metoclopramide or saline were administered I.V after clamping of umbilical cord, depending on their treatment group. After that treatment, if INOV appeared or the patients had no subside completely after 5 minutes, the subjects were treated with droperidol. Findings: Nausea and vomiting were not seen in 91.8% of the ondansetron group, 91.6% of the metoclopramide group and 60% of the placebo group (P<0.001). There was no significant difference between the first and second groups. Emetic symptoms were more frequent after clamping the umbilical cord (25.9%) than prior to it (16.3%) (P<0.05). Conclusion: According to the results, there was no significant difference between ondansetron and metoclopramide. For reducing IONV, it is recommended to use metoclopramide for preventing intraoperative nausea vomiting during spinal anesthesia for C/S.http://jbums.org/article-1-2689-en.htmlnausea and vomitingspinal anesthesiaondansetronmetoclopramide
spellingShingle H Zahedi
L Rouzbeh Kargar
Comparing the prophylaxis effect of Ondansetron and Metoclopramide against intraoperative nausea and vomiting during spinal anesthesia for cesarean section
Majallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul
nausea and vomiting
spinal anesthesia
ondansetron
metoclopramide
title Comparing the prophylaxis effect of Ondansetron and Metoclopramide against intraoperative nausea and vomiting during spinal anesthesia for cesarean section
title_full Comparing the prophylaxis effect of Ondansetron and Metoclopramide against intraoperative nausea and vomiting during spinal anesthesia for cesarean section
title_fullStr Comparing the prophylaxis effect of Ondansetron and Metoclopramide against intraoperative nausea and vomiting during spinal anesthesia for cesarean section
title_full_unstemmed Comparing the prophylaxis effect of Ondansetron and Metoclopramide against intraoperative nausea and vomiting during spinal anesthesia for cesarean section
title_short Comparing the prophylaxis effect of Ondansetron and Metoclopramide against intraoperative nausea and vomiting during spinal anesthesia for cesarean section
title_sort comparing the prophylaxis effect of ondansetron and metoclopramide against intraoperative nausea and vomiting during spinal anesthesia for cesarean section
topic nausea and vomiting
spinal anesthesia
ondansetron
metoclopramide
url http://jbums.org/article-1-2689-en.html
work_keys_str_mv AT hzahedi comparingtheprophylaxiseffectofondansetronandmetoclopramideagainstintraoperativenauseaandvomitingduringspinalanesthesiaforcesareansection
AT lrouzbehkargar comparingtheprophylaxiseffectofondansetronandmetoclopramideagainstintraoperativenauseaandvomitingduringspinalanesthesiaforcesareansection