INTRA-OPERATIVE STIMULATION OF MEDIAN NERVE REDUCES THE RISK OF POSTOPERATIVE NAUSEA AND VOMITING AFTER POSTERIOR FOSSA MASS RESECTION

The article presents the results of a prospective randomized double-blind study which was investigating the efficacy of intra-operative transcutaneous stimulation of median nerve on the wrist aimed to prevent post-operative nausea and vomiting after planned resection of brain tumors located in poste...

Full description

Saved in:
Bibliographic Details
Main Authors: А. S. Kulikov, M. I. Klyukin, I. M. Belisov, А. Yu. Lubnin
Format: Article
Language:Russian
Published: New Terra Publishing House 2019-01-01
Series:Вестник анестезиологии и реаниматологии
Subjects:
Online Access:https://www.vair-journal.com/jour/article/view/290
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849252720966369280
author А. S. Kulikov
M. I. Klyukin
I. M. Belisov
А. Yu. Lubnin
author_facet А. S. Kulikov
M. I. Klyukin
I. M. Belisov
А. Yu. Lubnin
author_sort А. S. Kulikov
collection DOAJ
description The article presents the results of a prospective randomized double-blind study which was investigating the efficacy of intra-operative transcutaneous stimulation of median nerve on the wrist aimed to prevent post-operative nausea and vomiting after planned resection of brain tumors located in posterior fossa.Methods. 40 patients were included into the study: 20 patients were enrolled into the stimulation group and 20 of them were enrolled into the control group, where the prevention of emetogenic reactions was limited by the use of dexamethasone and ondansetron.Results. The demographic and clinical parameters were compatible in the both groups. During the first 12 hours after recovery, the risk to develop symptoms was significantly lower in the stimulation group (p <0.05): 7 cases versus 14 ones in the control group (RR =0.5; 95% CI 0.26−0.97) and 4 versus 10 cases of vomiting in the control group (RR =0.4; 95% CI 0.15−1.07). No side effects were observed.Conclusion. It was confirmed that this method was effective to prevent postoperative nausea and vomiting in the patients who underwent infratentorial craniotomy.
format Article
id doaj-art-c5f600e6db374deb87efbf6c461c0de6
institution Kabale University
issn 2078-5658
2541-8653
language Russian
publishDate 2019-01-01
publisher New Terra Publishing House
record_format Article
series Вестник анестезиологии и реаниматологии
spelling doaj-art-c5f600e6db374deb87efbf6c461c0de62025-08-20T03:56:33ZrusNew Terra Publishing HouseВестник анестезиологии и реаниматологии2078-56582541-86532019-01-01156283210.21292/2078-5658-2018-15-6-28-32277INTRA-OPERATIVE STIMULATION OF MEDIAN NERVE REDUCES THE RISK OF POSTOPERATIVE NAUSEA AND VOMITING AFTER POSTERIOR FOSSA MASS RESECTIONА. S. Kulikov0M. I. Klyukin1I. M. Belisov2А. Yu. Lubnin3N. N. Burdenko National Scientific and Practical Center for NeurosurgeryN. N. Burdenko National Scientific and Practical Center for NeurosurgeryN. N. Burdenko National Scientific and Practical Center for NeurosurgeryN. N. Burdenko National Scientific and Practical Center for NeurosurgeryThe article presents the results of a prospective randomized double-blind study which was investigating the efficacy of intra-operative transcutaneous stimulation of median nerve on the wrist aimed to prevent post-operative nausea and vomiting after planned resection of brain tumors located in posterior fossa.Methods. 40 patients were included into the study: 20 patients were enrolled into the stimulation group and 20 of them were enrolled into the control group, where the prevention of emetogenic reactions was limited by the use of dexamethasone and ondansetron.Results. The demographic and clinical parameters were compatible in the both groups. During the first 12 hours after recovery, the risk to develop symptoms was significantly lower in the stimulation group (p <0.05): 7 cases versus 14 ones in the control group (RR =0.5; 95% CI 0.26−0.97) and 4 versus 10 cases of vomiting in the control group (RR =0.4; 95% CI 0.15−1.07). No side effects were observed.Conclusion. It was confirmed that this method was effective to prevent postoperative nausea and vomiting in the patients who underwent infratentorial craniotomy.https://www.vair-journal.com/jour/article/view/290postoperative nausea and vomitingposterior fossa massesondansetrondexamethasonestimulation of median nerve
spellingShingle А. S. Kulikov
M. I. Klyukin
I. M. Belisov
А. Yu. Lubnin
INTRA-OPERATIVE STIMULATION OF MEDIAN NERVE REDUCES THE RISK OF POSTOPERATIVE NAUSEA AND VOMITING AFTER POSTERIOR FOSSA MASS RESECTION
Вестник анестезиологии и реаниматологии
postoperative nausea and vomiting
posterior fossa masses
ondansetron
dexamethasone
stimulation of median nerve
title INTRA-OPERATIVE STIMULATION OF MEDIAN NERVE REDUCES THE RISK OF POSTOPERATIVE NAUSEA AND VOMITING AFTER POSTERIOR FOSSA MASS RESECTION
title_full INTRA-OPERATIVE STIMULATION OF MEDIAN NERVE REDUCES THE RISK OF POSTOPERATIVE NAUSEA AND VOMITING AFTER POSTERIOR FOSSA MASS RESECTION
title_fullStr INTRA-OPERATIVE STIMULATION OF MEDIAN NERVE REDUCES THE RISK OF POSTOPERATIVE NAUSEA AND VOMITING AFTER POSTERIOR FOSSA MASS RESECTION
title_full_unstemmed INTRA-OPERATIVE STIMULATION OF MEDIAN NERVE REDUCES THE RISK OF POSTOPERATIVE NAUSEA AND VOMITING AFTER POSTERIOR FOSSA MASS RESECTION
title_short INTRA-OPERATIVE STIMULATION OF MEDIAN NERVE REDUCES THE RISK OF POSTOPERATIVE NAUSEA AND VOMITING AFTER POSTERIOR FOSSA MASS RESECTION
title_sort intra operative stimulation of median nerve reduces the risk of postoperative nausea and vomiting after posterior fossa mass resection
topic postoperative nausea and vomiting
posterior fossa masses
ondansetron
dexamethasone
stimulation of median nerve
url https://www.vair-journal.com/jour/article/view/290
work_keys_str_mv AT askulikov intraoperativestimulationofmediannervereducestheriskofpostoperativenauseaandvomitingafterposteriorfossamassresection
AT miklyukin intraoperativestimulationofmediannervereducestheriskofpostoperativenauseaandvomitingafterposteriorfossamassresection
AT imbelisov intraoperativestimulationofmediannervereducestheriskofpostoperativenauseaandvomitingafterposteriorfossamassresection
AT ayulubnin intraoperativestimulationofmediannervereducestheriskofpostoperativenauseaandvomitingafterposteriorfossamassresection