a comparison of the effects of fentanyl and remifentanil on nausea, vomiting, and pain after cesarean section

نویسندگان

safoura rouholamin department of obstetrics and gynecology, alzahra general hospital, isfahan university of medical science, isfahan, iran

mitra jabalameli department of anaesthesiology and critical care, alzahra general hospital, isfahan university of medical science, isfahan, iran

fatemeh gourtanian department of obstetrics and gynecology, alzahra general hospital, isfahan university of medical science, isfahan, iran

چکیده

background: the effects of different opioids on postoperative nausea and vomiting (ponv) and pain have not been conclusively determined. the aim of this study was to compare the effects of fentanyl, remifentanil or fentanyl plus morphine on the incidence of ponv and pain in women subjected to cesarean section under general anesthesia. methods: the study was a randomized clinical trial recruiting 96 parturients with american society of anesthesiologists (asa) physical status i and ii. they scheduled for cesarean section under general anesthesia using sodium thiopental, succynylcholine, and isoflurane o2/n2o 50/50 mixture. after clamping the umbilical cord, the patients were given fentanyl (2 µg/kg/h), remifentanil (0.05 µg/kg/h), or fentanyl (2 µg/kg) pulse morphine (0.1 mg/kg) intravenously. visual analog scale for pain and nausea, frequency of ponv, meperidine and metoclopramide consumption were evaluated at recovery, and 4, 8, 12 and 24 hours after the surgery. results: there was no significant difference between the three groups in terms of frequency of nausea, vomiting, and mean nausea and pain scores at any time points. none of the patients required the administration of metoclopramide. however, the mean vas for pain in remifentanil-treated group was insignificantly more than that in fentanyl- or fentanyl plus mor-phine-treated group at recovery or 4 hours after the surgery. the mean mepridine consumption in remifentanil-treated group was significantly (p=0.001) more than that in fentanyl- or fentanyl plus morphine-treated group in 24 hours after the surgery respectively. there was no significant difference in hemodynamic parameters of the three groups in all measurements after the surgery. conclusion: the findings of this study showed that early postoperative analgesia was better with fentanyl, and postoperative meperidine consumption was significantly less with fentanyl than with remifentanil or combined fentayl and morphine. trial registration number: irct201010232405n5

برای دانلود باید عضویت طلایی داشته باشید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

A Comparison of the Effects of Fentanyl and Remifentanil on Nausea, Vomiting, and Pain after Cesarean Section

Background: The effects of different opioids on postoperative nausea and vomiting (PONV) and pain have not been conclusively determined. The aim of this study was to compare the effects of fentanyl, remifentanil or fentanyl plus morphine on the incidence of PONV and pain in women subjected to cesarean section under general anesthesia. Methods: The study was a randomized clinical trial r...

متن کامل

A Comparison of the Effects of Fentanyl and Remifentanil on Nausea, Vomiting, and Pain after Cesarean Section

BACKGROUND The effects of different opioids on postoperative nausea and vomiting (PONV) and pain have not been conclusively determined. The aim of this study was to compare the effects of fentanyl, remifentanil or fentanyl plus morphine on the incidence of PONV and pain in women subjected to cesarean section under general anesthesia. METHODS The study was a randomized clinical trial recruitin...

متن کامل

on translation of politeness strategies in dialogues involving female characters in translations and retranslations of novels translated before and after the islamic revolution of iran and their effects on the image of women: a polysystem theory approach

abstract reception environment has considerable effects on accepting a translation. as the expectations of a target culture and its values and needs change throughout history, its criteria for accepting a translation or rejecting it will change accordingly (gentzler, 2001). the expectations of iran, as the reception environment in the present study, have changed after the islamic revolution. i...

the effects of planning on accuracy and complexity of iranian efl students’ written narrative task performance

this study compared the different effects of form-focused guided planning vs. meaning-focused guided planning on iranian pre-intermediate students’ task performance. the study lasted for three weeks and concentrated on eight english structures. forty five pre-intermediate iranian students were randomly assigned to three groups of guided planning focus-on-form group (gpfg), guided planning focus...

15 صفحه اول

the effects of time planning and task complexity on accuracy of narrative task performance

هدف اصلی این تحقیق بررسی تاثیر برنامه ریزی زمانی، هم چنین افزایش میزان پیچیدگی تکالیف در نظر گرفته شده بصورت همزمان، بر دقت و صحت و پیچیدگی عملکرد نوشتاری زبان آموزان می باشد. بدین منظور، 50 نفر از دانش آموزان دختر در رده ی سنی 16 الی 18 سال به عنوان شرکت کنندگان در این زمینه ی تحقیق در نظر گرفته شدند و به دو گروه آزمایشی و کنترل بصورت اتفاقی تقسیم شدند. اعضای گروه آزمایشی هر دو تکلیف ساده و پی...

on the comparison of keyword and semantic-context methods of learning new vocabulary meaning

the rationale behind the present study is that particular learning strategies produce more effective results when applied together. the present study tried to investigate the efficiency of the semantic-context strategy alone with a technique called, keyword method. to clarify the point, the current study seeked to find answer to the following question: are the keyword and semantic-context metho...

15 صفحه اول

منابع من

با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید


عنوان ژورنال:
iranian journal of medical sciences

جلد ۳۶، شماره ۳، صفحات ۱۸۳-۰

کلمات کلیدی

میزبانی شده توسط پلتفرم ابری doprax.com

copyright © 2015-2023