Dimenhydrinate Decreases Vomiting After Strabismus Surgery in Children

作者: David F. Vener , Alison S. Carr , Nancy Sikich , Bruno Bissonnette , Jerrold Lerman

DOI: 10.1097/00000539-199604000-00009

关键词:

摘要: Dimenhydrinate, an H1-receptor antagonist, has been used to both prevent and treat postoperative vomiting (POV) in children for several decades. However, its effectiveness POV after strabismus surgery remains anecdotal. This study was designed determine the side effects of dimenhydrinate prevention surgery. Eighty ASA physical status I or II children, ages 1-12 yr inclusive, who were undergoing surgery, prospectively randomly allocated receive either 0.5 mg/kg intravenously (n = 40) placebo at induction anesthesia. The incidence times arousal (and discharge from recovery room hospital) recorded postoperatively a double blinded manner. For 24 h hospital, all emetic episodes medications given by parents. Demographic data did not differ between groups. Children received had significantly less inhospital (10%) overall (30%) than those (in-hospital 38%, P < 0.008; 65%, 0.003). hospital two Dimenhydrinate (0.5 mg/kg) is effective, safe, inexpensive antiemetic It reduces associated with prolonged sedation other adverse effects.

参考文章(17)
J. Lerman, Are antiemetics cost-effective for children? Canadian Journal of Anaesthesia-journal Canadien D Anesthesie. ,vol. 42, pp. 263- 266 ,(1995) , 10.1007/BF03010699
M. P. Rowley, T. C. K. Brown, Postoperative vomiting in children. Anaesthesia and Intensive Care. ,vol. 10, pp. 309- 313 ,(1982) , 10.1177/0310057X8201000402
A. A. BERG, A. LAMBOURNE, P. A. CLYBURN, The oculo-emetic reflex. A rationalisation of postophthalmic anaesthesia vomiting. Anaesthesia. ,vol. 44, pp. 110- 117 ,(1989) , 10.1111/J.1365-2044.1989.TB11157.X
Robert H. Hume, Warren K. Wilner, The use of dramamine in control of postoperative nausea and vomiting. Anesthesiology. ,vol. 13, pp. 302- 305 ,(1952) , 10.1097/00000542-195205000-00011
Joseph M. Scavone, Becki G. Luna, Jerold S. Harmatz, Lisa von Moltke, David J. Greenblatt, Diphenhydramine kinetics following intravenous, oral, and sublingual dimenhydrinate administration Biopharmaceutics & Drug Disposition. ,vol. 11, pp. 185- 189 ,(1990) , 10.1002/BDD.2510110302
John B. Rose, Thalia M. Martin, David H. Corddry, Michael Zagnoev, Robert G. Kettrick, Ondansetron reduces the incidence and severity of poststrabismus repair vomiting in children Anesthesia & Analgesia. ,vol. 79, pp. 486- 489 ,(1994) , 10.1213/00000539-199409000-00014
D. F. Vener, AS. Carr, N. Sikich, B. Bissonette, J. Lerman, Does Dimenhydrinate Control Vomiting in Children after Outpatient Strabismus Surgery Anesthesiology. ,vol. 81, ,(1994) , 10.1097/00000542-199409001-00021
Doreen Caplin, Code Smith, A comparison of the anti-emetic effects of dimenhydrinate, promethazine hydrochloride and chlorpromazine following anaesthesia Canadian Anaesthetists’ Society Journal. ,vol. 2, pp. 191- 197 ,(1955) , 10.1007/BF03021113