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Related Experiment Videos

Metoclopramide does not decrease the incidence of nausea and vomiting after alfentanil for outpatient anaesthesia.

D G Whalley1, S AlHaddad, I Khalil

  • 1Department of General Anesthesiology, Cleveland Clinic Foundation, Ohio 44195.

Canadian Journal of Anaesthesia = Journal Canadien D'Anesthesie
|November 1, 1991
PubMed
Summary
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Adding metoclopramide to droperidol did not reduce nausea, retching, or vomiting in outpatients receiving alfentanil anesthesia for nasal surgery. The combination therapy showed no significant difference in emetic symptom incidence compared to droperidol alone.

Area of Science:

  • Anesthesiology
  • Pharmacology
  • Surgical Care

Background:

  • Postoperative nausea and vomiting (PONV) are common complications in outpatient surgery.
  • Alfentanil anesthesia is associated with a risk of emetic symptoms.
  • Droperidol is an antiemetic agent, but its efficacy may be enhanced by other drugs.

Purpose of the Study:

  • To evaluate the efficacy of metoclopramide in combination with droperidol for preventing emetic symptoms.
  • To determine if adding metoclopramide to droperidol further reduces nausea, retching, and vomiting in outpatients undergoing nasal surgery with alfentanil anesthesia.

Main Methods:

  • A randomized, double-blind, placebo-controlled study involving 60 outpatients.
  • Patients received either metoclopramide or placebo, combined with droperidol and alfentanil anesthesia.

Related Experiment Videos

  • Emetic symptoms were assessed at 0-3, 3-6, and 6-24 hours post-surgery.
  • Main Results:

    • The overall incidence of emetic symptoms was 27% in both the metoclopramide (Group 1) and placebo (Group 2) groups.
    • No statistically significant difference in the incidence of nausea, retching, or vomiting was observed between the groups at any time interval.
    • Both groups received comparable doses of alfentanil anesthesia.

    Conclusions:

    • Metoclopramide, when added to droperidol, does not provide additional antiemetic benefit in outpatients receiving alfentanil anesthesia for nasal surgery.
    • Droperidol alone appears to be as effective as the combination of metoclopramide and droperidol in managing emetic symptoms in this patient population.