Intra-operative suggestions reduce incidence of post hysterectomy emesis.
The influence of therapeutic intraoperative auditory suggestions on the incidence and severity of emetic episodes was investigated in 50 adults ASA I and II patients undergoing elective abdominal hysterectomy. The patients were randomly divided into two groups, each consisting of 25 patients. In group I, a blank tape was played and in group II, positive suggestion was played via headphones throughout the anaesthetic period. It was observed that there was statistically significant difference (P < 0.05) between the incidence of vomiting in group I (60%) and group II (36%). The number of vomiting episodes per patient in group I was 3.1 +/- 1.2 as compared to 1.7 +/- 0.6 in group II. This difference was statistically significant. The patients requiring rescue antiemetic was significantly higher (P < 0.05) in group I (66.6%) as compared to group II (22.2%). It is concluded that positive therapeutic suggestion may be considered as an alternative to antiemetic therapy.
Maroof
M
M
Department of Anaesthesiology, King Fahad National Guard Hospital, Riyadh, Saudi Arabia.
Ahmed
S M
SM
Khan
R M
RM
Bano
S J
SJ
Haque
A W
AW
D000328:Adult; D000758:Anesthesia / Q000009:adverse effects; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects*; D007430:Intraoperative Care / Q000379:methods*; D008875:Middle Aged; D013404:Suggestion; D014839:Vomiting / Q000209:etiology / Q000517:prevention & control*