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Pyridoxine Prevents Postoperative Nausea and Vomiting in Gynecological Laparoscopic Surgery: A Double-blind Randomized Controlled Trial.
Anesthesiology
December 2024
Department of Anesthesiology, The Third Xiangya Hospital, Central South University, No.138, Tongzipo Road, Yuelu District, Changsha, Hunan, China, 410013.
Background: Postoperative nausea and vomiting (PONV) are common complications after gynecological laparoscopic surgery. Pyridoxine has been recommended as a first-line drug to prevent and treat nausea and vomiting during pregnancy; however, its efficacy in preventing PONV remains unclear.
Methods: Patients of 18 to 65 years old, who received elective gynecological laparoscopic surgery under general anesthesia, were randomized into either the pyridoxine or control group.
Impact of the Amount of Intravenous Glucose Administration on Hospitalization for Acute Gastroenteritis in a Pediatric Emergency Department.
Pediatr Emerg Care
December 2024
From the Service of Pediatric Emergency Medicine, CHU Sainte-Justine, Montreal.
Introduction: In case of failure of oral rehydration, children with acute gastroenteritis can be hydrated using intravenous (IV) solution. The choice of the intravenous solution itself (solutions containing dextrose versus crystalloids alone) and the glucose quantities to administer are not well established.
Objectives: The main objective of this study was to evaluate the association between the amount of intravenous glucose provided and hospitalization for children with acute gastroenteritis.
Evaluation of Isopropyl Alcohol Aromatherapy in Treating Nausea in Helicopter Emergency Medical Services Patients.
Air Med J
December 2024
Department of Emergency Medicine, Medical College of Wisconsin, Milwaukee, WI; Flight For Life, Waukesha, WI. Electronic address:
Article Synopsis
- - The study aimed to evaluate the effectiveness of isopropyl alcohol (IPA) aromatherapy for alleviating nausea in critical care transport (CCT) patients, comparing it to the traditional medication ondansetron.
- - A retrospective chart review included 217 adult patients over two years, assessing nausea improvement rates before and after a protocol change to use IPA as a first-line treatment.
- - Results showed that IPA was less effective than ondansetron in ground transport patients, but similar in helicopter EMS; nonetheless, IPA may offer a rapid relief option for nausea in certain CCT scenarios.
Comparative efficacy of intravenous treatments for perioperative shivering in patients undergoing caesarean delivery under neuraxial anaesthesia: A systematic review and Bayesian network meta-analysis of randomised-controlled trials.
J Clin Anesth
January 2025
Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, CA, USA; Research Department of Targeted Intervention, Division of Surgery and Interventional Science, University College London, London, UK. Electronic address:
Introduction: Shivering affects 52 % of patients undergoing caesarean delivery under neuraxial anaesthesia. Despite extensive research focused on its prevention, there is still no consensus regarding optimal pharmacological treatment. This systematic review and network meta-analysis aims to compare available intravenous treatments of perioperative shivering in patients undergoing caesarean delivery under neuraxial anaesthesia.
View Article and Find Full Text PDFLiver failure after food poisoning, an under-recognized entity: A case report.
World J Hepatol
November 2024
Department of Gastroenterology and Hepatology, Geneva University Hospitals, Geneva 1205, Switzerland.
Article Synopsis
- Foodborne illnesses can lead to serious conditions like liver failure, especially in vulnerable populations such as children and young adults, but they often go unreported due to their self-limiting nature.
- In a specific case, a 48-year-old woman experienced severe symptoms after eating contaminated rice salad, resulting in metabolic acidosis and liver dysfunction.
- After treatment in the emergency department, including the use of N-acetylcysteine, her condition improved, and she was discharged nine days later with recovering liver function.
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