Randomized Controlled Trial Summary

Improved Essays
This paper is a summary of a randomized controlled trial conducted by Joo et al (2015) in which the combination of haloperidol and dexamethasone were used to treat postoperative nausea and vomiting (PONV) in high-risk patients undergoing gynecological laparoscopic surgery. It is understood using low dose haloperidol helps in the prevention of PONV. The study’s purpose was to identify an appropriate dose to use with dexamethasone for prevention of PONV.
The study took place in a single hospital setting. The sample number was 150 females, American Society of Anesthesiologists (ASA) I and II, aged 20-65 years, and included only patients having elective gynecologic laparoscopic surgery and intravenous (IV) patient controlled analgesia (PCA)

Related Documents

  • Superior Essays

    Carlie Fleming Mrs. Stanley English 12 27 October 2016 An Anesthesiologist Anesthesiologists are physicians who administer and determine what type of anesthetic treatment is to be used for the patient prior to surgery, as well as positioning the patient on the operating table in a manner that will be helpful to the surgery. Following strict medical guidelines, the anesthesiologist takes into account the patient’s current health, any medications they are taking, and the type of surgery that is being performed. While the surgery is taking place, the anesthesiologist monitors the patient’s critical life functions to make sure no complications arise. After the surgery is over, the patient’s well-being has to be monitored as the anesthetic wears…

    • 1112 Words
    • 5 Pages
    Superior Essays
  • Superior Essays

    Today during simulation, we had the chance to review Doris Bowman’s virtual simulation one-on-one with our instructor. Doris Bowman was the patient who had a hysterectomy done with a bilateral salpingo-oophorectomy under general anesthesia. I will go more into detail in the body of my journal/paper and explain the complications and postoperative care of a surgical patient. I hope you enjoy this simulation journal/paper, thank you! Doris Bowman…

    • 1309 Words
    • 6 Pages
    Superior Essays
  • Improved Essays

    AAOMS Sample Paper

    • 815 Words
    • 4 Pages

    To avoid seasonality that might bias the results, each OMS was randomly assigned to enter data for one month during the 12-month study period between June, 2011 and May, 2012. Participants were required to enter data for the all eligible patients during the month that they were assigned. To be eligible for study enrollment, the OMS participants had to: 1) be an AAOMS member and agree to participate in a P-BRN sponsored by AAOMS and submit required data to the AAOMS national data repository for all patients for whom they performed an operative procedure in an outpatient setting, 2) be in private practice based in the United States, 3) deliver anesthesia in the office-based ambulatory setting. Exclusion criteria for OMSs samples were: 1) full- or part-time…

    • 815 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    1. Summarize key milestones involved in the past and present shaping and transitional dynamics behind changes in the present health care industry. Deoxyribonucleic acid also known as DNA is our genetic identification. Once thought by students, as a boring waste of time, has made leaps and bounds in the health care industry. DNA fingerprinting not only proves paternity, but it is also useful for crime scene investigations.…

    • 954 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Anesthesia Delivery Model

    • 873 Words
    • 4 Pages

    Extensive evidence exists that the independent practice of CRNAs is not inferior to physician supervised models in safety or quality of care. The article by Negrusa, Haogan, Warner, Schroeder, and Pang (2016) deliberates on the results of the comparison of anesthesia related complications in different types of anesthesia provider models. Data was taken from the Optum research database and included 5,740,470 anesthesia related cases performed from the 2011-2012 period in different anesthesia settings. Five delivery models consisting of anesthesiologist only, CRNA only, and three different collaborative team models were reviewed. No statistical difference in anesthesia induced complications between the different anesthesia delivery models or scope of practice scenarios was shown.…

    • 873 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Evaluation of the Mayo Clinic website The internet has revolutionized computer and communications like never before. It has World-Wide broadcasting capability in modern times. We have all kinds of information available at our finger tips by simply navigating the web. Nevertheless, when analyzing or reviewing a website, we need to make sure that the website meets all the criteria to make it an accurate source.…

    • 599 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    we are confronted here with a multivariate longitudinal observational study, that is, a number of different responses are measured repeatedly over time on a particular patient. The data in this study, is divided into two sets: the consumption data set which consist mainly of the response variables, and the patient data set, which is made up entirely of the explanatory variables. We have data on individual health care spending in the last year of life of 46,581 patients (aged 45 years and above). These patients have a legal stay in these five regions of Belgium, and having died in the study period. The regions include: the province of Limburg (850,000 inhabitants; +/- 8,500 deaths per year), the area around Antwerp (750,000 inhabitants;…

    • 271 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Unfortunately, it was too long. During the last decade, however, there has been increased interest in optimal multimodal perioperative care to enhance recovery (the fast-track methodology) (Kehlet 2008, Kehlet and Wilmore 2008) Several trials have demonstrated a reduction in the inflammatory response, postoperative nausea and vomiting, and pain by administration of preoperative glucocorticoids. 15–19…

    • 481 Words
    • 2 Pages
    Improved Essays
  • Great Essays

    Pressure area care was one of the priorities, so we used special pressure relieving equipment like the gel pads, Inco pads, and gam gees in areas that are vulnerable to pressure ulcers such as the ankles, the bottom and shoulders to ensure patient comfort during the operation. Patient was strapped to avoid her from falling from the operating bed. Mal-positioning of the patient has important implications in terms of associated problems of pressure sores, nerve compressions, deep vein thrombosis and compartment syndrome, and should be avoided (Adedeji et al., 2010).Mrs A was covered with blanket so as to protect her dignity throughout her…

    • 2140 Words
    • 9 Pages
    Great Essays
  • Improved Essays

    Essay Of Ondansetron

    • 850 Words
    • 4 Pages

    Zhang, Shen, You, Zhu, and Tang (2013) used a preliminary, randomized, control study to experiment and collect data. Data was collected using direct questioning by one anesthesiologist, who was unaware of the medications that were administered to the patient. All episodes of PONV were recorded and evaluated within 24 hours of the surgical procedure, documenting results from 5 different postoperative time frames (0–4 h, 4–8 h, 8–12 h, 12–16 h, and 16–24 h). The research was based on the effects of ondansetron administered in combination with general anesthetics and the patient’s response in postoperative…

    • 850 Words
    • 4 Pages
    Improved Essays
  • Superior Essays

    The patient and the family are normally stressed, so it is the anesthesiologist’s job to put the patient’s fears to rest and calm them down. Anesthesiologist’s try to calm people down by saying things like, “The way you go into surgery is the way you come out” (Dr. Dubrow Botched). That means if you go into surgery with a positive attitude then you will come out well and will heal quickly. To help with the positive attitude, some anesthesiologist’s have to sometimes give people an injection that puts them in a state of fuzziness or it puts them half way asleep. It can be called “happy juice.”…

    • 1595 Words
    • 7 Pages
    Superior Essays
  • Superior Essays

    Healthcare professionals are faced with important decisions every day that can mean the difference between life and death. Clinicians use evidence from research, clinical expertise and patient’s preferences to make clinical decisions. Often, the available evidence is so vast that finding the appropriate course of action becomes a daunting process. Consequently, the critical appraisal of evidence has become a valuable skill to clinicians. Evidence is ranked in a hierarchy system.…

    • 1045 Words
    • 4 Pages
    Superior Essays
  • Improved Essays

    Sara Lin Case

    • 566 Words
    • 3 Pages

    Sara Lin Guided Reflection Questions Opening Questions How did the simulated experience of Sara Lin’s case make you feel? Pain is an elusive and complex phenomenon. However, the simulation of Sara Lin’s help me understand the patient’s responses and factors affecting the pain experience.…

    • 566 Words
    • 3 Pages
    Improved Essays
  • Great Essays

    Of the studies identified as measuring speech perception or speech recognition, 10 were non-randomized treatment studies and 3 were randomized controlled trials. Due to their quasi-randomized study designs, De Miranda et al. 2008 and Stecker et al. 2006 were considered as non-randomized treatment studies. Of the thirteen studies, 3 were conducted in Portuguese Brazilian in Brazil.…

    • 3464 Words
    • 14 Pages
    Great Essays
  • Great Essays

    This would also include attempting to reduce any activity that induced pain such as “coughing or ambulation” (Huether & McCrance, 2017). They might also give the patient an ice pack to place on the abdomen to relieve some of the pain. The nurse might also administer any pain medications that can be given before the patient’s procedure however, it is important that no cathartics are administered at this time because it has the potential to rupture the appendix (Huether & McCrance, 2017). In order to prevent infection, the nurse might closely monitor the severity of the pain and if it becomes increasingly worse. The nurse would also give any antibiotics ordered before the procedure as well as prepare the…

    • 1849 Words
    • 8 Pages
    Great Essays