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Multimodal analgesia and multimodal prophylaxis of
postoperative nausea and vomiting were found to effectively alleviate the
gynaecological procedures' pain.
In patients undergoing gynaecological procedures, multimodal analgesia is effective to treat pain. The use of postoperative nausea and vomiting prevention is valuable for gynaecological patients. Analyzing the surgical records facilitates the recognition of patient requirements, says a study published in “Ginekologia Polska”. Investigators undertook this analysis to explore the advantages of the methods utilized for gynaecological individuals in the immediate postanesthetic period.
Assessment of medical documentation of 150 subjects was done from the gynaecology clinic who underwent surgery. Participants receiving multimodal analgesia were allocated into three groups: (i) Group I: Use of opioid and non-opioid analgesics, (ii) Group II: Use of opioid and non-opioid analgesics and adjuvants, (iii) Group III: Use of opioid and non-opioid analgesics and central blockade.
When the subjects left the operating room, about 80% of the subjects from groups II and III and 52% of subjects in group I did not feel any pain. When the subjects entered the recovery room, a higher percentage of individuals in group I rated their pain as greater than five compared to group II and III. Ondansetron was the most used antiemetic.
A greater percentage of subjects in the recovery room received ondansetron in Group II compared to Group I and III while a greater percentage of individuals in Group III received ondansetron in the postanaesthetic care unit. Only the subjects in group III were administered metoclopramide - one intraoperatively, and the other was administered in the recovery room.
Thus, multimodal analgesia effectively alleviates pain.
Preventing postoperative nausea and vomiting is beneficial for gynaecological
subjects.
Ginekologia Polska
The impact of multimodal therapies on the comfort and safety of patients in the immediate post-anaesthetic period following gynaecological procedures - part I
Agnieszka Biskup et al.
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