Artikel ; Online: Influence of the menstrual cycle on the incidence of nausea and vomiting after laparoscopic gynecological surgery: a pilot study.
Journal of clinical anesthesia
2012 Band 24, Heft 3, Seite(n) 185–192
Abstract: Study objective: To investigate whether the phase of menstrual cycle influences the incidence of postoperative nausea and vomiting (PONV) in women undergoing general anesthesia for elective laparoscopic gynecological surgery.: Design: Prospective, ... ...
Abstract | Study objective: To investigate whether the phase of menstrual cycle influences the incidence of postoperative nausea and vomiting (PONV) in women undergoing general anesthesia for elective laparoscopic gynecological surgery. Design: Prospective, observational, blinded study. Setting: General hospital, Postanesthesia Care Unit, and gynecologic floor room. Patients: 111 ASA physical status 1 and 2 women, aged 18 to 53 years. Interventions: Patients were classified into three groups according to the phase of menstrual cycle at the time of anesthesia: Group F1: follicular phase (menstrual days 1-8; n = 34); Group O2: ovulatory phase (days 9-15; n = 40); and Group L3: luteal phase (days 16 to end of cycle; n = 37). Anesthetic, postoperative pain management, and antiemetic regimens were standardized. Measurements: Frequency of nausea, vomiting, or both were assessed for early (0-2 hrs). Late PONV (2-24 hrs) along with the use of rescue antiemetic, severity of nausea, and pain. Main results: In the follicular (n = 34), ovulatory (n = 40) and luteal phase (n = 37) groups, the frequencies of PONV over 24 hours were 35%, 38%, and 14% (P = 0.04), respectively. This was due to differences in the early postoperative period where the frequencies were 21%, 25%, and 3% (P = 0.02), respectively, as frequencies were similar in the late period (15%, 20% and 14%, P = 0.71), respectively. Nausea scores, rescue antiemetic usage, pain scores, and opioid consumption were similar in the groups. Conclusion: Patients in the luteal phase of their menstrual cycle may have a decreased risk of PONV after laparoscopic gynecological surgery in the early postoperative period. |
---|---|
Mesh-Begriff(e) | Adolescent ; Adult ; Anesthesia, General/methods ; Antiemetics/therapeutic use ; Elective Surgical Procedures/methods ; Female ; Follicular Phase/physiology ; Gynecologic Surgical Procedures/methods ; Hospitals, General ; Humans ; Incidence ; Laparoscopy/methods ; Luteal Phase/physiology ; Middle Aged ; Ovulation/physiology ; Pain, Postoperative/epidemiology ; Pilot Projects ; Postoperative Nausea and Vomiting/epidemiology ; Prospective Studies ; Risk ; Severity of Illness Index ; Single-Blind Method ; Young Adult |
Chemische Substanzen | Antiemetics |
Sprache | Englisch |
Erscheinungsdatum | 2012-05 |
Erscheinungsland | United States |
Dokumenttyp | Journal Article ; Research Support, Non-U.S. Gov't |
ZDB-ID | 1011618-7 |
ISSN | 1873-4529 ; 0952-8180 |
ISSN (online) | 1873-4529 |
ISSN | 0952-8180 |
DOI | 10.1016/j.jclinane.2011.07.011 |
Datenquelle | MEDical Literature Analysis and Retrieval System OnLINE |
Volltext online
Zusatzmaterialien
Kategorien
Verfügbar in ZB MED Köln/Königswinter
Zs.A 2622: Hefte anzeigen | Standort: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (2.OG) ab Jg. 2022: Lesesaal (EG) |
Über subito bestellen
Dieser Service ist kostenpflichtig (siehe Lieferbedingungen von subito). Bestellungen, die einen Artikel nebst Supplementary Material umfassen, werden grundsätzlich wie mehrfache Bestellungen bearbeitet. Gebühren fallen in diesen Fällen für jede einzelne Bestellung an.