Comparison Of PONV Score Using Ringer’s Solution And 5% Dextrose In Patients Of Laproscopic Cholecystectomy- A Clinical Study
Journal Title: Harsukh Educational Charitable Society International Journal of Community Health and Medical Research - Year 2018, Vol 4, Issue 3
Abstract
Background: Post-operative nausea and vomiting (PONV) is a common and distressing complication after anaesthesia and surgery. The present study was conducted to determine the effect of dextrose in LC patients in preventing PONV. Materials & Methods: The present study was conducted on 200 patients of both genders. All were selected for LC under general anesthesia. They were divided into 2 groups. Group I patients received an infusion of 500 cc lactated Ringer’s solution and group II received 5% dextrose in lactated Ringer’s solution over a period of 30 min. All patients rated their nausea and vomiting intensity using the verbal rating scale immediately at post‐ anaesthesia care unit arrival; 60 and 120 min after arriving at the PACU and 12 and 24 h after surgery. Results: Nausea score at 60 minutes (N1) was 1 in group II and 5.2 in group I, N2 was 0.86 in group II and 4.2 in group I, N3 was 1.24 in group II and 2.84 in group I and N4 was 0.2 in group II and 0.1 in group I. The difference was significant (P< 0.05). Vomiting score T1 was 5.26 in group I and 1 in group II, T2 was 1.32 in group I and 0.63 in group II, T3 was 2.48 in group I and 1.24 in group II and T4 was 1.42 in group I and 0.82 in group II. The difference was statistically significant (P< 0.05). Conclusion: Author found that administration of IV dextrose before anaesthesia induction may be recommended as an effective and safe method for the prophylaxis of PONV after LC.
Authors and Affiliations
Rajiv Lakhotia, Dr Somnath Longani, Manish Kumar Singh, Arehana Agarwal, Jaishree Bogra, LD Mishra
Keywords
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