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Volume 351:1458-1459 September 30, 2004 Number 14
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Prevention of Postoperative Nausea and Vomiting

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 by Apfel, C. C.
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To the Editor: Apfel et al. (June 10 issue)1 conclude that ondansetron, dexamethasone, and droperidol each reduced the risk of postoperative nausea and vomiting by about 26 percent. In addition, they report that propofol and nitrogen reduced the risk of postoperative nausea and vomiting by 19 percent and 12 percent, respectively. Since antiemetics have similar efficacy in the prevention of postoperative nausea and vomiting and since they act independently, according to the results of the current study, we think that the combination of dexamethasone and droperidol is a more favorable and cheaper option than other combinations of antiemetc interventions evaluated . . . [Full Text of this Article]




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