The effect of ginger and metoclopramide in the prevention of nausea and vomiting during and after surgery in cesarean section under spinal anesthesia

OBJECTIVE: Postoperative nausea and vomiting is one of the most common side effects after anesthesia in surgeries, such as cesarean section. This study aimed to investigate the effect of ginger and metoclopramide in the prevention of nausea and vomiting during and after cesarean section.METHODS: This clinical trial was conducted on 180 patients aged 18–40 years who underwent cesarean section under spinal anesthesia. The first group received 10 mg of metoclopramide via intravenous injection (metoclopramide group), and the second group received 1 g of oral ginger (ginger group) half an hour before spinal anesthesia. The frequency and severity of nausea and vomiting during surgery and at 2, 6, 12, and 24 hours postoperatively were compared in both groups. To analyze the results, the t-test, chi-square test, and Mann-Whitney test were used.RESULTS: There was no significant difference in the frequency of nausea and vomiting between the 2 groups during operation, 2 hours and 6 hours after surgery (P=0.182, 0.444 and 0.563 respectively). The severity of nausea and vomiting was also similar in the 2 groups (P=0.487 and 0.652 respectively); however, the metoclopramide group had a lower systolic blood pressure (P<0.001; df=2.176; f=18.66) and mean arterial pressure (P<0.001; df=2.176; f=6.36) than the ginger group.CONCLUSION: The results revealed that ginger reduced nausea and vomiting to the same extent as metoclopramide in patients undergoing cesarean section.TRIAL REGISTRATION: Iranian Center for Clinical Trials Identifier: IRCT201611028611N3

Spontaneous uterine rupture after abdominal myomectomy at the gestational age of 20 weeks in pregnancy: a case report

Background: Uterine rupture in pregnancy is rare and often could be life threatening and catastrophic. Myomectomy is one of very common surgeries in gynecology, performed as the vaginal, abdominal and laparoscopic surgeries. Pregnancies occured after abdominal and laparoscopic myomectomy are high risk for uterine rapture

Case: Patient was a 28 Years old female, pregnant woman at the 20 wks of gestational age with abdominal pain and a history of abdominal myomectomy 6 yrs ago. Uterus was ruptured and fetus in amniotic sac was found in abdominal cavity

Conclusion: Early diagnosis of uterine rupture after myomectomy can save patients from death

effect of diclofenac Na supp on postoperative shivering in patients undergoing elective cesarean section surgery

To evaluate the effect of diclofenac sodium suppository on postoperative shivering. One hundred forty patients were randomly allocated to two groups [n=70 patients for each group]. Ten minutes before the induction of anesthesia, group D received Supp diclofenac Na 100 mg, and group C did not receive anything. Axillary temperature was measured before induction and 15 minutes after the extubation. Shivering was judged by using a three-point scale after the end of anesthesia. The difference of the shivering incidence in the D [27.1%] and C [48.6%] groups were significant [P=0.014]. There was no significant difference between the two groups in the severity of shivering after the end of anesthesia [P=0.507]. The difference of the mean temperature changes in the two groups was found to be significant. [P=0.004]. Diclofenac Na effectively reduced the incidence of post anesthetic shivering and it resulted in a more stable body temperature

Comparison of intratracheal and intravenous lidocaine effects on bucking, cough, and emergence time at the end of anesthesia

To compare the effects of intratracheal and intravenous lidocaine on bucking, cough and emergence time at the end of anesthesia. Sixty patients were randomly allocated in to 2 groups to receive lidocaine 1.5mg/kg either intravenous or intratracheal in a double-blind study. The number of bucking and coughs for each patient was continuously monitored for thirty minutes after extubation. Heart rate, systolic, and diastolic blood pressures were measured before the injection of test solution and one minute after the tracheal extubation. The emergence time was also recorded. There was no significant difference in the number of bucking [P=0.192] before extubation and coughs during the 30-min monitoring after extubation [P=0.97] between two groups. The difference in emergence time between two groups was not significant [P=0.715]. The effect of intravenous or intratracheal lidocaine was similar on bucking, cough, and emergence time at the end of general anaesthesia