Prophylaxis of Postoperative Nausea and Vomiting in Adolescent Patients: A Review with Emphasis on Combination of Fixed-Dose Ondansetron and Transdermal Scopolamine
2011

Preventing Nausea and Vomiting After Surgery in Teens

Sample size: 40 publication Evidence: moderate

Author Information

Author(s): Joseph V. Pergolizzi, Robert Raffa, Robert Taylor

Primary Institution: Johns Hopkins University School of Medicine

Hypothesis

Should adolescents follow pediatric or adult guidelines for preventing postoperative nausea and vomiting (PONV)?

Conclusion

Adolescents may benefit from a combination of ondansetron and transdermal scopolamine for preventing PONV.

Supporting Evidence

  • Adolescents experience high rates of postoperative nausea and vomiting.
  • Combination therapy of ondansetron and transdermal scopolamine is effective.
  • Limited FDA-approved treatments exist for adolescent PONV.

Takeaway

This study looks at how to stop kids and teens from feeling sick after surgery. It suggests using two medicines together to help them feel better.

Methodology

Review of clinical evidence regarding ondansetron and transdermal scopolamine for PONV in adolescents.

Potential Biases

Potential bias due to lack of extensive research on adolescent PONV.

Limitations

Limited studies specifically on adolescents and reliance on pediatric and adult data.

Participant Demographics

Pediatric patients aged 6 to 14 years for one study; adolescents aged 12 to 17 years inferred for the review.

Statistical Information

P-Value

p<0.001

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1155/2011/426813

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