Abstract
Purpose
To compare the efficacy of ramosetron with granisetron for the prevention of postoperative nausea and vomiting (PONV) after laparoscopic cholecystectomy.
Methods
In a randomized, double-blind study, 80 female inpatients received 3 mg granisetron or 0.3 mg ramosetroniv (n=40 of each) at the completion of surgery The standardized anesthetic included isoflurane and nitrous oxide in oxygen.
Results
Complete response, defined as no PONV during the first 24 hr (0–24 hr) after anesthesia was 85% with granisetron and 93% with ramosetron, respectively (P=0.241); the corresponding incidence during the next 24 hr (24–48 hr) after anesthesia was 63% and 90% (P=0.004). No clinically important adverse events due to the study drug were observed in any of the groups.
Conclusion
Ramosetron was more effective than granisetron for prevention of PONV during 0–48 hr after anesthesia for laparoscopic cholecystectomy.
Résumé
Objectif
Comparer l’efficacité du ramosétron et du granisétron dans la prévention des nausées et des vomissements postopératoires (NVPO) à la suite d’une cholécystectomie laparoscopique.
Méthode
L’étude randomisée, à double insu, a porté sur 80 femmes qui ont reçu 3 mg de granisétron ou 0,3 mg de ramosétroniv (n=40 dans chaque cas) après l’opération. Lanesthésie standard comprenait de l’isoflurane et un mélange de protoxyde d’azote et d’oxygène.
Résultats
La réponse complète, définie comme une absence de NVPO, a été de 85% avec le granisétron et de 93% avec le ramosétron, respectivement (P=0,241), pendant les 24 premières heures postanesthésiques (0–24 h); pendant les 24 h suivantes, l’incidence correspondante a été de 63% et de 90% (P=0,004). Aucun événement indésirable, d’importance clinique et relié aux médicaments de l’étude, n’est survenu.
Conclusion
Le ramosétron a été plus efficace que le granisétron à prévenir les NVPO pendant les 48 premières heures qui ont suivi la cholécystectomie laparoscopique.
References
Fujii Y, Tanaka H, Toyooka H. Granisetron reduces the incidence and severity of nausea and vomiting after laparoscopic cholecystectomy. Can J Anaesth 1997; 44: 396–400.
Fujii Y, Saitoh Y, Tanaka H, Toyooka H. Anti-emetic efficacy of prophylactic graniserton, droperidol and metoclopramide in the prevention of nausea and vomiting after laparoscopic cholecystectomy: a randomized, double-blind, placebo-controlled trial. Eur J Anesthesiol 1988; 15: 166–71.
Fujibara A, Akuzawa S, Miyata K, Miyake A. Ramosetron hydrochloride: affinity for cloned human 5-HT3 receptor and 5-HT3 receptor antagonistic and antiemetic effect in the ferret. (Japanese) Kiso to Rinsho 1996; 30: 1965–72.
Watcha MF, White PF. Postoperative nausea and vomiting. Its etiology, treatment, and prevention. Anesthesiology 1992; 77: 162–84.
Bermudez J, Boyle EA, Minter WD, Sanger GJ. The antiemetic potential of the 5hydroxytryptamine3 receptor antagonist BRL 43694. Br J Cancer 1988; 58: 644–50.
Carmichael J, Cantwell BMJ, Edwards CM, et al. A pharmacokinetic study of granisetron (BRL 43694A), a selective 5-HT3 receptor antagonist: correlation with anti-emetic response. Cancer Chemother Pharmacol 1989; 24: 45–9.
Noda K, Ikeda M, Yoshida O, et al. Clinical evaluation of ramosetron against the nausea and vomiting induced by anticancer drugs. (Japanese) Jpn J Clin Exp Med 1994; 71: 2765–76.
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Additional information
A retraction note to this article is available at http://dx.doi.org/10.1007/s12630-013-9947-1.
This article has been retracted due to two reasons: Many variables reported in the studies are exceedingly unlikely. The author's institution is not able to attest to the integrity of the study and/or the data conducted under its auspices.
An erratum to this article is available at http://dx.doi.org/10.1007/s12630-013-9947-1.
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Fujii, Y., Saitoh, Y., Tanaka, H. et al. RETRACTED ARTICLE: Ramosetronvs granisetron for the prevention of postoperative nausea and vomiting after laparoscopic cholecystectomy. Can J Anesth/J Can Anesth 46, 991–993 (1999). https://doi.org/10.1007/BF03013138
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DOI: https://doi.org/10.1007/BF03013138