Abstract | BACKGROUND: METHODS: In a randomized, double-blinded manner, 100 children, ASA physical status I, aged 4-11 years, received orally placebo or granisetron at three different doses (20 microg x kg(-1), 40 microg x kg(-1), 80 microg x kg(-1)) 60 min before surgery (n=25 of each). The same standard general anaesthetic technique was used. RESULTS: The percentage of patients being emesis-free during 0-6 h after anaesthesia was 56% with placebo, 64% with graniseron 20 microg x kg(-1) (P=0.773), 88% with granisetron 40 microg x kg(-1) (P=0.027) and 92% with granisetron 80 microg x kg(-1) (P=0.01); the corresponding rate during 6-24 h after anaesthesia was 60%, 68% (P=0.768), 92% (P=0.02) and 92% (P=0.02) (P-values versus placebo). No clinically serious adverse events were observed in any of the groups. CONCLUSIONS: In summary, preoperative oral granisetron 40 microg x kg(-1) is effective for the prevention of vomiting following paediatric surgery ( inguinal hernia, phimosis-circumcision). Increasing the doses to 80 microg x kg(-1) provides no demonstrable additional benefit.
|
Authors | Yoshitaka Fujii, Hiritoshi Tanaka |
Journal | Paediatric anaesthesia
(Paediatr Anaesth)
Vol. 12
Issue 3
Pg. 267-71
(Mar 2002)
ISSN: 1155-5645 [Print] France |
PMID | 11903942
(Publication Type: Clinical Trial, Journal Article, Randomized Controlled Trial, Retracted Publication)
|
Chemical References |
|
Topics |
- Administration, Oral
- Anesthesia, General
- Antiemetics
(administration & dosage, therapeutic use)
- Child
- Child, Preschool
- Circumcision, Male
- Double-Blind Method
- Female
- Granisetron
(administration & dosage, therapeutic use)
- Hernia, Inguinal
(surgery)
- Humans
- Male
- Phimosis
(surgery)
- Postoperative Nausea and Vomiting
(prevention & control)
- Preoperative Care
- Prospective Studies
|