RETRACTED ARTICLE: Prevention of PONV with granisetron, droperidol and metoclopramide in female patients with history of motion sickness

  • Yoshitaka Fujii
  • Hidcnori Toyooka
  • Hiroyoshi Tanaka
Reports of Investigation

Abstract

Purpose

Motion sickness is one of the patient-related factors associated with postoperative nausea and vomiting (PONV). This study was undertaken to assess the efficacy of granisetron, droperidol and metoclopramide for preventing PONV in female patients with a history of motion sickness undergoing major gynaecological surgery.

Methods

In a prospective, randomized, placebo-controlled, double-blind study. 120 patients received either 1.25 mg dropendol. 10 mg metoclopramide, 40 μkg granisetron or placebo (saline)iv immediately before induction of anaesthesia. A standardized anaesthetic technique and postoperative analgesia were used in all patients. During the first 24 hr after anaesthesia, the incidence of PONV and adverse events were recorded by nursing-staff.

Results

The treatment groups were similar for patient demographics, types of surgery, anaesthetics administered and opioid given. The incidence of PONV was 70%, 50%. 57% and 23% in the placebo, droperidol, metoclopramide and granisetron groups, respectively (P < 0.05; overall χ2 test). No difference in the incidence of adverse events was observed in either group.

Conclusion

Granisetron is a better prophylactic antiemetic than dropendol or metoclopramide in female patients with a history of motion sickness undergoing major gynaecological surgery.

Résumé

Objectif

Le mal des transports constitue un facteur prédisposant aux nausées et aux vomissements postopératoires (NVPO). Cette étude visait à étudier l’efficacité du granisetron, du dropéridol et de la métoclopramide administrés pour la prévention des NVPO chez des opérées pour une intervention chirurgicale gynécologique majeure.

Méthodes

Étude prospective, aléatoire, contrôlée par placebo et en double aveugle. Cent vingt patientes ont reçu soit dropéridol 1.25 mg, soit métoclopramide 10 mg, soit granisetron 40μg·k ou un placeboiv immédiatement avant l’induction de l’anesthésie. La technique anesthésique et l’analgésie postopératoire étaient standardisées pour toutes les patientes. Pendant les premières 24 h postopératoires. le personnel infirmier notait l’incidence des NVPO et des effets secondaires.

Résultats

Les groupes etaient identiques sous l’aspect de la démographie, du type de chirurgie, de l’anesthésique et du morphmique administré. L’incidence des NVPO était de 70%. 50%. 57% et de 23% respectivement pour les groupes placebo, dropéridol, métoclopramide et granisetron (P < 0.05: test chi carré). L’incidence des effets secondaires n’a pas différé entre les groupes.

Conclusion

Le granisetron protège mieux des séquelles émétiques que le dropéndol ou la métoclopramide les patientes possédant des antécédents du mal des transport opérées pour une chirurgie gynécologique majeure.

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Copyright information

© Canadian Anesthesiologists 1997

Authors and Affiliations

  • Yoshitaka Fujii
    • 1
  • Hidcnori Toyooka
    • 1
  • Hiroyoshi Tanaka
    • 2
  1. 1.Department of AnaesthesiologyUniversity of Tsukuba Institute of Clinical MedicineIbarakiJapan
  2. 2.Department of AnaesthesiologyToride Kyodo General HospitalIbarakiJapan

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