The value of risks scores for predicting postoperative nausea and vomiting when used to compare patient group in a randomised controlled trial.

Abstract:

:Whilst conducting a randomised controlled trial into the effects of combination anti-emetics, we endeavoured to confirm that our patient groups were matched using the predictive scoring systems for postoperative nausea and vomiting (PONV) and postoperative vomiting (POV) reported in the literature. One hundred and seventy-seven female patients attending for day case gynaecological surgery were studied and their individual risks of PONV and POV were calculated using four predictive models for PONV and two predictive models for POV. The scoring systems were then evaluated to see if agreement existed between them using the method described by Bland and Altman. Bias and 95% limits of agreement were calculated for each combination. Agreement between scoring systems was poor. As the scoring systems gave widely divergent predictions, we concluded that the predictive risk for PONV or POV would be dependent upon the scoring system chosen, thus limiting their usefulness in this role.

journal_name

Anaesthesia

journal_title

Anaesthesia

authors

Thomas R,Jones NA,Strike P

doi

10.1046/j.1365-2044.2002.02782_4.x

subject

Has Abstract

pub_date

2002-11-01 00:00:00

pages

1119-28

issue

11

eissn

0003-2409

issn

1365-2044

journal_volume

57

pub_type

杂志文章
  • Anaesthesia in a patient with Noonan's syndrome and cardiomyopathy.

    abstract::A 5-year-old girl with Noonan's syndrome and a hypertrophic cardiomyopathy presented for myelography and subsequently, laminectomy. The anaesthetic management of the patient is described and the potential problems of the facial, cardiovascular and skeletal abnormalities associated with the condition are discussed. ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1992.tb02010.x

    authors: Campbell AM,Bousfield JD

    更新日期:1992-02-01 00:00:00

  • Acid aspiration prophylaxis for emergency Caesarean section.

    abstract::Over a 3.5 year period, 384 patients requiring emergency Caesarean section under general anaesthesia received at random one of six acid aspiration prophylaxis regimens as soon as the decision was made for surgery. In the first phase of the study, sodium citrate administered orally 0.3 M, 30 ml (group C, n = 120) was c...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1996.tb07782.x

    authors: Stuart JC,Kan AF,Rowbottom SJ,Yau G,Gin T

    更新日期:1996-05-01 00:00:00

  • Internal jugular catheterisation. Blood reflux is not a reliable sign in patients with thoracic trauma.

    abstract::An internal jugular catheter, which was inserted into a patient with a traumatic haemopneumothorax, accidentally entered the pleural cavity. This was initially undetected because the two signs most frequently used to confirm correct placement, those of blood reflux and fluctuation of central venous pressure with respi...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1992.tb01949.x

    authors: Pina J,Morujão N,Castro-Tavares J

    更新日期:1992-01-01 00:00:00

  • The effect of celecoxib on intrathecal morphine-induced pruritus in patients undergoing Caesarean section.

    abstract::Pruritus associated with intrathecal opioid administration is particularly common in pregnancy. Nonsteroidal anti-inflammatory drugs (NSAIDs) can reduce the severity of this pruritus but have undesirable side effects. The recent development of drugs that can specifically inhibit the cyclooxygenase 2 isoenzyme have bec...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.2004.03797.x

    authors: Lee LH,Irwin MG,Lim J,Wong CK

    更新日期:2004-09-01 00:00:00

  • Nalbuphine for obstetric analgesia. A comparison of nalbuphine with pethidine for pain relief in labour when administered by patient-controlled analgesia (PCA).

    abstract::A double-blind, randomised study of 60 patients who received intravenous increments of nalbuphine 3 mg or pethidine 15 mg by patient-controlled analgesia during the first stage of labour, was carried out. Pain intensity, sedation, uterine contractions, maternal cardioventilatory variables and fetal heart rate were rec...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1987.tb05313.x

    authors: Frank M,McAteer EJ,Cattermole R,Loughnan B,Stafford LB,Hitchcock AM

    更新日期:1987-07-01 00:00:00

  • Peribulbar anaesthesia using a mixture of local anaesthetic and vecuronium.

    abstract::The aim of this double-blind, randomised study was to assess the effects of the addition of 0.5 mg of vecuronium bromide to a standard local anaesthetic mixture used for peribulbar anaesthesia. We studied 60 patients undergoing regional anaesthesia for intra-ocular surgery and were primarily interested in the quality ...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1046/j.1365-2044.1998.00433.x

    authors: Reah G,Bodenham AR,Braithwaite P,Esmond J,Menage MJ

    更新日期:1998-06-01 00:00:00

  • The estimation of inspired desflurane concentration in a low-flow system.

    abstract::We have examined the predictability of inspired desflurane concentration during low-flow anaesthesia using a to-and-fro breathing system. Twenty-two adult patients requiring mechanical ventilation of the lungs during surgery took part in the study. Using a fresh gas flow of 1 l.min-1, the ratio of inspired desflurane ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1996.tb14953.x

    authors: Gowrie-Mohan S,Muralitharan V,Lockwood GG

    更新日期:1996-10-01 00:00:00

  • Pulse oximetry. An assessment in anaesthetised dental patients.

    abstract::The applications of a pulse oximeter were studied in dental day case surgery using nasal mask anaesthesia. Changes in arterial oxygen saturation were sensitively and rapidly detected, in the absence of cyanosis. Impaired oxygenation can be detected before cyanosis develops. ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1986.tb12750.x

    authors: Clapham MC,Mackie AM

    更新日期:1986-10-01 00:00:00

  • Nikolay Ivanovich Pirogov: a surgeon's contribution to military and civilian anaesthesia.

    abstract::A key figure in the development of anaesthesia in Russia was the surgeon Nikolay Ivanovich Pirogov (1810-1881). He experimented with ether and chloroform and organised the general introduction of anaesthesia in Russia for patients undergoing surgery. He was the first to perform systematic research into anaesthesia-rel...

    journal_title:Anaesthesia

    pub_type: 传,历史文章,杂志文章

    doi:10.1111/anae.12916

    authors: Hendriks IF,Bovill JG,Boer F,Houwaart ES,Hogendoorn PC

    更新日期:2015-02-01 00:00:00

  • Postoperative recovery after general anaesthesia with and without retrobulbar block in retinal detachment surgery.

    abstract::This study was to determine whether general anaesthesia plus retrobulbar block would be a better anaesthetic technique than general anaesthesia alone in retinal detachment surgery. Twenty-eight patients were allocated randomly to either general anaesthesia with retrobulbar block or general anaesthesia alone. The anaes...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1988.tb05657.x

    authors: Chung F,Westerling D,Chisholm LD,Squires GW

    更新日期:1988-11-01 00:00:00

  • The effect of temperature upon pain during injection of propofol.

    abstract::Propofol has been shown to cause pain on injection. This study investigated the effect of warming propofol to 37 degrees C on the pain of intravenous injection. One hundred and one women on outpatient gynaecology lists were allocated to receive propofol either at room temperature or at 37 degrees C. Warming propofol d...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1996.tb07802.x

    authors: Fletcher GC,Gillespie JA,Davidson JA

    更新日期:1996-05-01 00:00:00

  • Peri-operative stroke in general surgical patients.

    abstract::The incidence and aetiology of peri-operative stroke in patients undergoing general surgical procedures are reviewed. Some general recommendations on the peri-operative anaesthetic management of these patients are summarised. ...

    journal_title:Anaesthesia

    pub_type: 杂志文章,评审

    doi:10.1111/j.1365-2044.1997.136-az0129.x

    authors: Kam PC,Calcroft RM

    更新日期:1997-09-01 00:00:00

  • The effect of alkalinisation of lignocaine on axillary brachial plexus anaesthesia.

    abstract::Alkalinisation of local anaesthetic drugs is a controversial technique for improving regional blockade. Forty-two patients scheduled for upper limb surgery received axillary brachial plexus anaesthesia using a cannula technique. Patients were randomly allocated to receive either lignocaine 1.5% with 1 in 200,000 adren...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1996.tb07712.x

    authors: Gormley WP,Hill DA,Murray JM,Fee JP

    更新日期:1996-02-01 00:00:00

  • Temperature course and distribution during plasma heating with a microwave device.

    abstract::In spite of the much shorter thawing times, the use of microwave devices for heating units of fresh frozen plasma is still being discussed. Concerns about general and localised overheating are the main arguments against the use of microwave devices. We evaluated the warming of fresh frozen plasma using the recently in...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1046/j.1365-2044.2003.03086.x

    authors: Hirsch J,Bach R,Menzebach A,Welters ID,Dietrich GV,Hempelmann G

    更新日期:2003-05-01 00:00:00

  • Propofol and serum potassium.

    abstract::The aim of this study was to examine the effect of propofol and propofol with suxamethonium on serum potassium concentration during induction of general anaesthesia. Forty patients were studied during elective surgery and serum electrolytes were measured before and after the induction of anaesthesia. Patients were all...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1992.tb01959.x

    authors: Fogarty DJ,McCleane GJ

    更新日期:1992-01-01 00:00:00

  • Comparison of the C-MAC videolaryngoscope with the Macintosh, Glidescope, and Airtraq laryngoscopes in easy and difficult laryngoscopy scenarios in manikins.

    abstract::The C-MAC comprises a Macintosh blade connected to a video unit. The familiarity of the Macintosh blade, and the ability to use the C-MAC as a direct or indirect laryngoscope, may be advantageous. We wished to compare the C-MAC with Macintosh, Glidescope and Airtraq laryngoscopes in easy and simulated difficult laryng...

    journal_title:Anaesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.2010.06307.x

    authors: McElwain J,Malik MA,Harte BH,Flynn NM,Laffey JG

    更新日期:2010-05-01 00:00:00

  • Dose-response relationships for infusions of Althesin or methohexitone.

    abstract::A technique is described for the determination of equipotent rates of infusion of intravenous hypnotic agents. Two end points have been defined; the rates needed to suppress the initial response to the surgical incision in 50% (ED50) and 95% (ED95) of patients receiving continuous infusion anaesthesia to supplement 67...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1983.tb12021.x

    authors: Sear JW,Phillips KC,Andrews CJ,Prys-Roberts C

    更新日期:1983-10-01 00:00:00

  • Unplanned admission rates and postdischarge complications in patients over the age of 70 following day case surgery.

    abstract::The elderly are a group of patients who would seem ideally suited to day surgery. However, age was initially regarded as a potential barrier to this process. We conducted a retrospective review of 1647 elderly patients (> 70 years of age) over a two-year period. Our results show a favourable outcome for these patients...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.2004.03560.x

    authors: Aldwinckle RJ,Montgomery JE

    更新日期:2004-01-01 00:00:00

  • The TOF-Guard neuromuscular transmission monitor. A comparison with the Myograph 2000.

    abstract::The TOF-Guard neuromuscular monitor uses an accelerometer to measure the response to nerve stimulation. In this study, we have compared it to a standard mechanomyographic monitor, the Myograph 2000, for neuromuscular monitoring in 28 subjects. A train-of-four mode of stimulation was used in both cases. The times taken...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1995.tb06097.x

    authors: Loan PB,Paxton LD,Mirakhur RK,Connolly FM,McCoy EP

    更新日期:1995-08-01 00:00:00

  • Hypophosphataemia and its consequences in patients following open heart surgery.

    abstract::Plasma phosphate concentration (Pi), red cell 2,3-diphosphoglycerate (2,3-DPG) and adenosine triphosphate (ATP) concentrations were measured pre-operatively and at intervals after operation for 30 h in twelve patients (nine males and three females, 44--61 years of age), who underwent open heart surgery. All patients r...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1978.tb08419.x

    authors: Swaminathan R,Morgan DB,Ionescu M,Hill GL

    更新日期:1978-07-01 00:00:00

  • Postdural puncture symptoms in a child.

    abstract::An 11-year-old boy suffered an inadvertent dural puncture during placement of an epidural catheter for postoperative analgesia. He developed symptoms of mild headache only, but severe and protracted orthostatic nausea and dizziness, which eventually resolved completely following epidural blood patch. His symptoms were...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1997.az0158b.x

    authors: McHale J,O'Donovan FC

    更新日期:1997-07-01 00:00:00

  • The potencies of edrophonium and neostigmine as antagonists of pancuronium.

    abstract::Dose response curves were constructed for edrophonium and neostigmine when used to antagonise pancuronium, 0.07 mg/kg during thiopentone-nitrous oxide-halothane anaesthesia. The antagonist was given when 10% twitch height had been restored and the effect was measured 10 minutes later. Recoveries to 50% and 90% twitch ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1985.tb11044.x

    authors: Breen PJ,Doherty WG,Donati F,Bevan DR

    更新日期:1985-09-01 00:00:00

  • A water-insensitive ventilator alarm.

    abstract::Most of the low-pressure ventilator alarms available have the pressure registration unit connected to the patient circuit by a narrow bore plastic tube. Condensed water in this tube will stop the correct function of the alarm in a few hours if the tube is placed after a heated humidifier. The pressure registration sho...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1979.tb06259.x

    authors: Hommelgaard P,Nissen T

    更新日期:1979-11-01 00:00:00

  • Pretreatment with ketorolac and venous occlusion to reduce pain on injection of propofol.

    abstract::We performed a randomised, double-blind, prospective trial to discover whether intravenous ketorolac 10 mg made up to 2 ml with saline, with or without venous occlusion for 2 min, reduces the pain on injection of propofol. In 90 patients, pain scores were obtained during injection of propofol following pretreatment of...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1046/j.1365-2044.2000.01320.x

    authors: Yull DN,Barkshire KF,Dexter T

    更新日期:2000-03-01 00:00:00

  • Cardiovascular and catecholamine response to surgery in brain-dead organ donors.

    abstract::Eleven brain-dead organ donors were studied during surgery. Plasma levels of adrenaline and noradrenaline were measured before and after skin incision, upon sternotomy and 15, 30 and 45 min thereafter. Haemodynamic changes were measured continuously throughout the observation period. Blood pressure and heart rate incr...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1995.tb05989.x

    authors: Fitzgerald RD,Dechtyar I,Templ E,Fridrich P,Lackner FX

    更新日期:1995-05-01 00:00:00

  • Impact of postoperative nausea and vomiting in the surgical setting.

    abstract::Postoperative nausea and vomiting is one of the most common complications of inpatient and day case surgical procedures. In a climate where total cost of an illness is becoming increasingly important, postoperative nausea and vomiting is a major contributor to direct and indirect costs for both the hospital and patien...

    journal_title:Anaesthesia

    pub_type: 杂志文章,评审

    doi:10.1111/j.1365-2044.1994.tb03580.x

    authors: Hirsch J

    更新日期:1994-01-01 00:00:00

  • A prospective randomised double blind study to evaluate the effect of peribulbar block or topical application of local anaesthesia combined with general anaesthesia on intra-operative and postoperative complications during paediatric strabismus surgery.

    abstract::We studied 45 ASA I/II children aged between 2 and 13 years scheduled for elective strabismus surgery, randomly allocated to receive either a peribulbar block or topical lidocaine 2% combined with general anaesthesia, or general anaesthesia alone. The incidence and severity of the occulocardiac reflex, the requirement...

    journal_title:Anaesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.2007.05220.x

    authors: Gupta N,Kumar R,Kumar S,Sehgal R,Sharma KR

    更新日期:2007-11-01 00:00:00

  • Serious complications with dextran-70 despite hapten prophylaxis. Is it best avoided prior to delivery?

    abstract::Dextran is used clinically for plasma volume expansion, improvement of blood flow and thromboprophylaxis, but has been associated with untoward side effects. Immunoprophylaxis with dextran I (hapten), before the infusion of dextran-70, has reduced the incidence of serious dextran-induced anaphylactoid reactions. We re...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1991.tb09916.x

    authors: Berg EM,Fasting S,Sellevold OF

    更新日期:1991-12-01 00:00:00

  • Validation of a pre-anaesthetic screening questionnaire.

    abstract::We developed a screening questionnaire to be used by nurses to decide which patients should see an anaesthetist for further evaluation before the day of surgery. Our objective was to measure the accuracy of responses to the questionnaire. Agreement between questionnaire responses and the anaesthetist's assessment was ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1046/j.1365-2044.2003.03335.x

    authors: Hilditch WG,Asbury AJ,Jack E,McGrane S

    更新日期:2003-09-01 00:00:00

  • Elderly patients' preferences concerning life-support treatment.

    abstract::The preferences of 118 elderly patients, aged from 70 to 97 years, concerning the institution of artificial ventilation in the event of an overwhelming illness, were investigated using a questionnaire. Most patients wanted treatment if the outcome was likely to be good, but in approximately half, the desire for treatm...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1993.tb07519.x

    authors: Heap MJ,Munglani R,Klinck JR,Males AG

    更新日期:1993-12-01 00:00:00