Archive for September, 2010

23 Sep

Lessons Learned from Protocol Standardization: DISCUSSION

The objectives of this study could not be met because of poor compliance with the PONV protocol. As a result, both the historical control and the PONV protocol groups reflected outcomes achieved with standard care. The use of a standardized protocol for the prevention and treatment of PONV has some advantages. Ideally, it should enhance [...]

16 Sep

Lessons Learned from Protocol Standardization: RESULTS

A total of 107 patient charts were reviewed, of which 7 were excluded, 5 because the patients had received an antiemetic agent within 24 h before anesthesia and 2 because the patients had been receiving concurrent chemotherapy. Therefore, 100 patients were included in the study. Patient characteristics are outlined in Table 1.

07 Sep

Lessons Learned from Protocol Standardization: METHODS

A chart review of patients who had undergone gynecologic surgery at RMH was performed. The health records department identified all patients meeting the eligibility criteria (see below) and then randomly selected the 100 charts to be included in the study. Patients who were 19 years of age or older who had undergone gynecologic surgery (laparoscopy, [...]

01 Sep

Lessons Learned from Protocol Standardization

INTRODUCTION Postoperative nausea and vomiting (PONV) are common and distressing adverse events experienced after surgery. Factors that increase a patient’s risk of experiencing PONV include female sex, obesity, stage in menstrual cycle, pain, and past history of PONV. The incidence of PONV can be as frequent as 70% to 80% in patients undergoing gynecologic surgery. [...]

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