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Update on the management of postoperative nausea and vomiting and postdischarge nausea and vomiting in ambulatory surgery.

1 hour 37 min ago
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Update on the management of postoperative nausea and vomiting and postdischarge nausea and vomiting in ambulatory surgery.

Anesthesiol Clin. 2010 Jun;28(2):225-49

Authors: Le TP, Gan TJ

Postoperative nausea and vomiting (PONV) continues to be one of the most common complaints following surgery, occurring in more than 30% of surgeries, or as high as 70% to 80% in certain high-risk populations without prophylaxis. The 5-hydroxytryptamine type 3 (5-HT(3)) receptor antagonists continue to be the mainstay of antiemetic therapy, but newer approaches, such as neurokinin-1 antagonists, a longer-acting serotonin receptor antagonist, multimodal management, and novel techniques for managing high-risk patients are gaining prominence. The related problem of postdischarge nausea and vomiting (PDNV) has received increasing attention from health care providers. The issues of PONV and PDNV are especially significant in the context of ambulatory surgeries, which comprise more than 60% of the combined 56.4 million ambulatory and inpatient surgery visits in the United States. Because of the relatively brief period that ambulatory patients spend in health care facilities, it is particularly important to prevent and treat PONV and PDNV swiftly and effectively.

PMID: 20488392 [PubMed - indexed for MEDLINE]

Complementary and alternative medicine in obstetrics: a survey from Iran.

Tue, 08/31/2010 - 11:14pm
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Complementary and alternative medicine in obstetrics: a survey from Iran.

Arch Gynecol Obstet. 2010 Aug 21;

Authors: Fahimi F, Hrgovic I, El-Safadi S, Münstedt K

PURPOSE: This survey assessed the use of complementary and alternative medicine (CAM) methods by obstetricians in the Islamic Republic of Iran. METHODS: Obstetricians in the province of Tehran were identified using the "Ketabe 118 Mashaghel" (2008), a source of medical department information. A survey on the use of CAM methods during childbirth and the reasons behind their application was conducted on site. RESULTS: CAM methods are by in 37.3% (62/166) of the obstetricians. Acupressure, massage, and phytotherapy were found to be the most frequently used methods. Use of CAM was influenced by the employment status of the midwives and inversely correlated with the number of deliveries in the hospital. CONCLUSIONS: CAM methods are used in Iran to some extent. With evidence-based medicine in mind it is interesting to note that in Iran mainly CAM methods which already have some proven benefit are used.

PMID: 20730543 [PubMed - as supplied by publisher]

Current situation and evaluation of clinical studies on acupuncture and moxibustion treatment of peripheral facial paralysis at selected stages.

Tue, 08/31/2010 - 11:14pm
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Current situation and evaluation of clinical studies on acupuncture and moxibustion treatment of peripheral facial paralysis at selected stages.

J Tradit Chin Med. 2010 Jun;30(2):153-9

Authors: Li Y, Wu X, Hu KM, Chen XQ

PMID: 20653175 [PubMed - indexed for MEDLINE]