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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 39 - 44 (6page)
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초록· 키워드
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Background: Postoperative nausea and vomiting (PONV), postanesthetic shivering and pain are common postoperative patient complaints that can result in adverse physical and psychological outcomes. Some antiemetics are reported to be effective in the management of postoperative pain and shivering, as well as PONV. We evaluated the efficacy of dexamethasone added to ramosetron on PONV, shivering and pain after thyroid surgery.Methods: One hundred and eight patients scheduled for thyroid surgery were randomly allocated to three different groups: the control group (group C, n = 36), the ramosetron group (group R, n = 36), or the ramosetron plus dexamethasone group (group RD, n = 36). The patients were treated intravenously with 1 and 2 ml of 0.9% NaCl (group C); or 2 ml of 0.15 mg/ml ramosetron plus 1 ml of 0.9% NaCl (group R); or 2 ml of 0.15 mg/ml ramosetron plus 1 ml of 5 mg/ml dexamethasone (group RD) immediately after anesthesia.Results: Incidence of nausea and the need for rescue antiemetics, verbal rating scale (VRS) 1 hour pain value, ketorolac consumption, and incidence of shivering were significantly lower in group R and group RD, than in group C (P ＜ 0.05). Moreover, these parameters were significantly lower in group RD than in group R (P ＜ 0.05). Conclusions: Combination of ramosetron and dexamethasone significantly reduced not only the incidence of nausea and need for rescue antiemetics, but also the VRS 1 hour pain value, ketorolac consumption, and the incidence of shivering compared to ramosetron alone in patients undergoing thyroid surgery. (Korean J Pain 2015; 28: 39-44)
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등록된 정보가 없습니다.
참고문헌 (21)
참고문헌 신청
Apfel CC / 1999 / A simplified risk score for predicting postoperative nausea and vomiting : conclusions from cross-validations between two centers / Anesthesiology 91 : 693
Asl ME / 2011 / Ondansetron and meperidine prevent postoperative shivering after general anesthesia / Middle East J Anaesthesiol 21 : 67 ~ 70
Eberhart LH / 2005 / Independent risk factors for postoperative shivering / Anesth Analg 101 : 1849 ~ 1857
Eun Jin Kim / 2007 / Combination of Antiemetics for the Prevention of PostoperativeNausea and Vomiting in High-Risk Patients / Journal of Korean Medical Science 22 (5) : 878
Feroci F / 2011 / Dexamethasone prophylaxis before thyroidectomy to reduce postoperative nausea, pain, and vocal dysfunction:a randomized clinical controlled trial / Head Ne
Asl ME / 2011 / Ondansetron and meperidine prevent postoperative shivering after general anesthesia / Middle East J Anaesthesiol 21 : 67 ~ 70
Eberhart LH / 2005 / Independent risk factors for postoperative shivering / Anesth Analg 101 : 1849 ~ 1857
Eun Jin Kim / 2007 / Combination of Antiemetics for the Prevention of PostoperativeNausea and Vomiting in High-Risk Patients / Journal of Korean Medical Science 22 (5) : 878
Feroci F / 2011 / Dexamethasone prophylaxis before thyroidectomy to reduce postoperative nausea, pain, and vocal dysfunction:a randomized clinical controlled trial / Head Ne
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