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January 1, 1970Journal of Nepal Medical AssociationOpen Access

A Comparative Study of Ondansetron Versus Metoclopramide in the Prevention of Post-Operative Vomiting in Routine Major Gynecological Surgery Under General Anesthesia

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Why the study?

Does ondansetron reduce post-operative vomiting and the need for rescue antiemetics compared to metoclopramide in patients undergoing major gynecological surgery?

Population

60 patients of American Society of Anaesthesiologist I and ASA II undergoing routine major gynecological…

Comparison

Ondansetron 8 mg I.V. diluted to 5 ml of normal… vs Metoclopramide 10 mg I.V. diluted to 5 ml of…

Design

RCT, randomized, double blinded

Follow-up

24 hours

Authors

BSBabu Raja ShresthaKathmandu Medical College Teaching Hospital

Discussion

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Overview

May support ondansetron preference in gynecologic surgery; leaves open need for larger confirmatory trials.

Structured PICO

Does ondansetron reduce post-operative vomiting and the need for rescue antiemetics compared to metoclopramide in patients undergoing major gynecological surgery?

P
Population
60 patients of American Society of Anaesthesiologist (ASA) I and ASA II undergoing routine major gynecological surgery (Transabdominal Hysterectomy, laprotomy and cystectomy, tubal surgery) under general anesthesia.
I
Intervention
Ondansetron 8 mg I.V. diluted to 5 ml of normal saline given prior to induction of anesthesia.
C
Comparator
Metoclopramide 10 mg I.V. diluted to 5 ml of normal saline given prior to induction of anesthesia.
O
Outcome
Frequencies of vomiting and requirement of rescue antiemetics in the first 24 hours post-operative.

Ondansetron 8 mg IV is more effective than metoclopramide 10 mg IV in preventing post-operative nausea and vomiting in patients undergoing major gynecological surgery.

Limitations

  • small sample size

Cite This Study

Babu Raja Shrestha (1970) studied this question.

synapsesocial.com/papers/6aa90947b17909331cd92519https://doi.org/10.31729/jnma.431
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Also Consider

Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1INTRAMUSCULAR USE OF DIMENHYDRINATE (DRAMAMINE) TO CONTROL POSTOPERATIVE VOMITING1955 · 11 citations
  2. 2NAUSEA AND VOMITING IN THE IMMEDIATE POSTANESTHETIC PERIOD1959 · 61 citations
  3. 3PRESENT STATUS OF CYCLOPROPANE1936 · 31 citations