Khadijeh Yazdi; Fariba Baghani; Shakiba Mozari
Abstract
Objectives Brain processing parameters during anesthesia result in induction of anesthesia with a low-dose of hypnotic drugs and reduce postoperative nausea and vomiting. The current study aimed at determining the relationship between the depth of anesthesia, and nausea and vomiting after the general ...
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Objectives Brain processing parameters during anesthesia result in induction of anesthesia with a low-dose of hypnotic drugs and reduce postoperative nausea and vomiting. The current study aimed at determining the relationship between the depth of anesthesia, and nausea and vomiting after the general anesthesia in patients undergoing elective abdominal surgery.Methods In the current descriptive, analytical study, 57 patients candidate for elective herniorrhaphy were selected by the convenient sampling method in Beheshti Hospital, Sabzevar, Iran, in summer 2014. Depth of anesthesia was monitored by bispectral index (BIS) and recorded at 5-minute intervals during the maintenance period. The postoperative nausea and vomiting scores were recorded in the recovery and 6 hours after operation. Data were analyzed using appropriate statistical tests by SPSS software version 18; P>0.05 was considered significant.Results A total of 57 patients with the mean ± standard deviation (SD) age of 45.54±13.46 years were studied, out of which 36 were male and 21 female. There was no significant difference between the amounts of anesthetic depth and severity of nausea and vomiting in patients during recovery (P=0.179).In the first 6 hours after surgery, there were significant differences between the values of depth of anesthesia and postoperative nausea and vomiting (P=0.003).Conclusion Monitoring and maintaining the depth of anesthesia reduced side effects such as nausea and vomiting after surgery.
R MEMARIAN; H YAZDI MOGHADAM; E MOHAMMADI
Volume 14, Issue 4 , January and February 2008, , Pages 224-230
Abstract
Background and purpose: Pain relief is a basic need and right of any patient as well as a priority in nursing. However, postoperative pain control have been inadequate for years with no significant progress. This research was intended to deter mine the effect of nurses' pain management or reducing patients' ...
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Background and purpose: Pain relief is a basic need and right of any patient as well as a priority in nursing. However, postoperative pain control have been inadequate for years with no significant progress. This research was intended to deter mine the effect of nurses' pain management or reducing patients' abdominal postoperative pain.
Methods and Materials: In this quasi-experimental study, deta collection instruments were pain and demographic information questionnaire and a visual scale for pain control (0-10). Samples were surgery candidates at Sabzevar Emdad Hospital in Sabzevar, Iran, selected in a one-month period by poisson distribution and their specifications. Control group sampling was done with 65 patients and demographic data were gathered. Before intervention, the vital signs charts were corrected in patients' recordings by adding "pain" as fifth vital sign so that it is measured every time other vital signs are controlled; for each pain scale, appropriate interrentions were considered. Interventions included 3 sessions of 45-60 minutes training and orientation for nurses to perform pain management program. Designed care giving was conducted for 60 experimental patients for one month. Then their pain scores were measured. The obtained data were analyzed using chi-square.
Results: The findings revealed that patients experienced less pain 72 hours after surgery in comparison with the first 24 hours; so that within 72 hours of hospitalzation after intervention, 38.6% of the patients scaled 3-5 degrees of pain and in the first 24 hours after interrention, 41.7% of the patients expressed very severe pain scores of 8-10.
Conclusion: The study findings indicated that, nurses ' pain management can lead to appropriate and timely pain control in postoperative abdominal patients.