AI 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.
Article Abstract
Objective: Isopropyl alcohol (IPA) aromatherapy provides rapid relief of nausea at minimal cost, is universally available, and has no known significant adverse effects. These attributes make it ideal for the prehospital setting. However, there is no published research on the use of IPA in critical care transport (CCT). The objective of this study was to investigate if CCT patients experience improvement of nausea with IPA aromatherapy.
Methods: A retrospective chart review was performed over a 2-year period on adult patients served by a Midwest CCT system that provides both air and ground transport. Data were obtained 1 year before and 1 year after a protocol change in which the first-line antiemetic was changed from intravenous ondansetron (prechange) to inhaled IPA (postchange). The IPA was administered by placing a pad under the patient's nares as they inhaled. The proportion of nausea improvement was compared between the prechange and postchange periods.
Results: Two hundred seventeen records were included. In helicopter emergency medical services, 33 of 50 (66.0%) patients reported improvement with ondansetron, and 13 of 21 (61.9%) reported improvement with IPA (P = .742). Patients transported by ground emergency medical services showed improvement in 65 of 73 (89.0%) cases for ondansetron and 40 of 73 (54.8%) for IPA (P < .001).
Conclusion: There was no difference in the proportion of nausea improvement between ondansetron and IPA in helicopter emergency medical services patients. In ground emergency medical services patients, more patients had nausea improvement with ondansetron compared with IPA. This study suggests IPA may be a faster, more efficacious alternative for nausea relief in CCT patients.
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| http://dx.doi.org/10.1016/j.amj.2024.08.004 | DOI Listing |
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