PMID- 25065093
OWN - NLM
STAT- MEDLINE
DCOM- 20140825
LR  - 20140728
IS  - 0125-2208 (Print)
IS  - 0125-2208 (Linking)
VI  - 97
IP  - 5
DP  - 2014 May
TI  - Oral rehydration with 10% carbohydrate drink for preventing postoperative nausea 
      and vomiting (PONV) after low dose of spinal morphine.
PG  - 530-5
AB  - BACKGROUND: Preoperative oral carbohydrate (CHO) drink may improve patients' 
      comfort. However, whether it prevents or reduces postoperative nausea and 
      vomiting (PONV) is questionable. OBJECTIVE: Evaluate the effect of oral 
      rehydration with 10% CHO drink before anesthesia on incidence and severity of 
      postoperative nausea and vomiting (PONV) after spinal morphine injection. 
      MATERIAL AND METHOD: One hundred patients scheduled for unilateral total knee 
      replacement (TKR) were randomly divided into two equal groups (n = 50 each). 
      Group I patients received 400 ml 10% CHO drink the preoperative night and 2-hour 
      before anesthesia, whereas Group II patients served as control. Spinal anesthesia 
      for all patients contained 0.5% bupivacaine 2.0 to 3.5 ml plus morphine 0.2 mg. 
      Pain therapy was standardized with femoral nerve block, local infiltration, 
      intravenous parecoxib, and oral paracetamol. Incidence and severity of PONV 
      within 24 hours were recorded In addition, preoperative intensity of thirst and 
      hunger, dry lips and throat, and anxiety was also recorded RESULTS: Incidence and 
      severity of PONV (81.2% vs. 72.0%, p = 0.536) as well as preoperative thirst, 
      hunger dry lips, and throat were not different between the groups. CONCLUSION: 
      Preoperative oral rehydration with carbohydrate drinks had no positive effect on 
      PONV nor patients' comfort.
FAU - Raksakietisak, Manee
AU  - Raksakietisak M
FAU - Chinachoti, Tithima
AU  - Chinachoti T
FAU - Iamaroon, Arissara
AU  - Iamaroon A
FAU - Thabpenthai, Yos
AU  - Thabpenthai Y
FAU - Halilamien, Pathom
AU  - Halilamien P
FAU - Siriratwarangkul, Sasiya
AU  - Siriratwarangkul S
FAU - Watanitanon, Arraya
AU  - Watanitanon A
LA  - eng
PT  - Journal Article
PT  - Randomized Controlled Trial
PT  - Research Support, Non-U.S. Gov't
PL  - Thailand
TA  - J Med Assoc Thai
JT  - Journal of the Medical Association of Thailand = Chotmaihet thangphaet
JID - 7507216
RN  - 0 (Analgesics, Opioid)
RN  - 0 (Antiemetics)
RN  - 0 (Dietary Carbohydrates)
RN  - 76I7G6D29C (Morphine)
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - Analgesics, Opioid/*administration & dosage
MH  - Antiemetics/*administration & dosage
MH  - *Beverages
MH  - Dietary Carbohydrates/*administration & dosage
MH  - Female
MH  - Fluid Therapy/*methods
MH  - Humans
MH  - Injections, Spinal
MH  - Male
MH  - Middle Aged
MH  - Morphine/*administration & dosage
MH  - Postoperative Nausea and Vomiting/*prevention & control
MH  - Prospective Studies
MH  - Treatment Outcome
EDAT- 2014/07/30 06:00
MHDA- 2014/08/26 06:00
CRDT- 2014/07/29 06:00
PHST- 2014/07/29 06:00 [entrez]
PHST- 2014/07/30 06:00 [pubmed]
PHST- 2014/08/26 06:00 [medline]
PST - ppublish
SO  - J Med Assoc Thai. 2014 May;97(5):530-5.