Use of supplemental oxygen during surgery is not risk free.
نویسندگان
چکیده
relief and for ambulation. Any study about PONV that includes the routine use of opioids may be trying to get the right answer by asking the wrong question. Avoiding the routine use of opioids, Friedberg recently published a 0.6% PONV rate in a series of 1,264 patients, one third of whom had PONV with the use of previous opioid-based anesthetics. Was Pogo right after all? Have we met the enemy, and is it us?
منابع مشابه
Ondansetron is no more effective than supplemental intraoperative oxygen for prevention of postoperative nausea and vomiting.
UNLABELLED Supplemental oxygen maintained during and for 2 h after colon resection halves the incidence of nausea and vomiting. Whether supplemental oxygen restricted to the intraoperative period is sufficient remains unknown. Similarly, the relative efficacy of supplemental oxygen and ondansetron is unknown. We tested the hypothesis that intraoperative supplemental oxygen reduces the incidence...
متن کاملEffects of supplemental oxygen and dexamethasone on surgical site infection: a factorial randomized trial‡.
BACKGROUND Tissue oxygenation is a strong predictor of surgical site infection. Improving tissue oxygenation should thus reduce wound infection risk. Supplemental inspired oxygen can improve tissue oxygenation, but whether it reduces infection risk remains controversial. Low-dose dexamethasone is often given to reduce the risk of postoperative nausea and vomiting, but steroid-induced immunosupp...
متن کاملSupplemental oxygen reduces the incidence of postoperative nausea and vomiting.
BACKGROUND Despite new anesthetic drugs and antiemetics, particularly 5-hydroxytryptamines, the incidence of postoperative nausea or vomiting remains between 20% and 70%. The authors tested the hypothesis that supplemental perioperative oxygen administration reduces the incidence of postoperative nausea or vomiting. METHODS Patients undergoing colon resection were anesthetized with fentanyl a...
متن کاملSupplemental postoperative oxygen and tissue oxygen tension in morbidly obese patients.
BACKGROUND Subcutaneous tissue oxygen tension (PsqO(2)) is a major predictor for wound healing and the occurrence of wound infections. Perioperative subcutaneous wound and tissue oxygen tension is significantly reduced in morbidly obese patients. Even during intraoperative supplemental oxygen administration, PsqO(2) remains low. Tissue hypoxia is pronounced during surgery and might explain the ...
متن کاملSupplemental oxygen does not reduce postoperative nausea and vomiting after thyroidectomy.
BACKGROUND Supplemental intra-operative oxygen 80% halves the incidence of nausea and vomiting after open and laparoscopic abdominal surgery, perhaps by ameliorating intestinal ischaemia associated with abdominal surgery. It is unlikely that thyroid surgery compromises intestinal perfusion. We therefore tested the hypothesis that supplemental perioperative oxygen does not reduce the risk of pos...
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عنوان ژورنال:
- Anesthesiology
دوره 93 2 شماره
صفحات -
تاریخ انتشار 2000