اثرات مايع درماني برشيوع تهوع و استفراغ پس از عمل شيرودكار

The effect Of fluid therapy on postoperative nausea and vomiting (PONV) after Shirodkarʹs operation

Background: Nausea and vomiting is common post operative complications that often necessitate the use of antiemetic agent sand it is still a problem. This study evaluated the effect of additional fluid therapy on PONV on patients undergoing Shirodkarʹs operation. Methods: In a randomized, double blind Trail, the effect of pre operative moderate fluid administration on post operative nausea and vomiting (PONV) following anesthesia was studied. One hundred twenty women undergoing shirodkar surgery was randomly assigned to receive Npo fluid (control group) or Npo fluid plus 10 ml.kg (moderate hydration group) of ringer solution pre operation. During recovery time and in the ward nausea and vomiting were evaluated. Results: Groups were similar with respect to demographic data, surgical procedures and baseline homodynamic variables. During the recovery room and in the ward, the incidence of nausea and vomiting were significantly lower in the hydrated group as compared with control (p<0.05). Conclusion: The present study showed that moderate hydration reduces the incidence of post shirodkar surgery nausea and vomiting, and seem that IV fluid therapy is a simple, effective, safe and well-tolerated technique for prevention of postoperative nausea and vomiting.