The Effect of Transdermal Scopolamine Patch on Nausea and Vomiting after Epidural Injection of Morphine. |
Hee Joo Lee, Dong Eon Moon, Jae Hyun Suh, Sung Nyeun Kim |
Department of Anesthesiology, Catholic University College of Medicine, Seoul, Korea. |
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Abstract |
Sixty patients, undergoing major gynecologic surgery with lumbar epidural anesthesia, were randomly selected 32 patients to apply a transdermal scopolamine patch (Kimite MyoungMoon, Korea) on the skin behind one ear. We were divided into 2 groups. Control group; epidural morphine 4mg were given and not applied scopolamine patch. Experimental group; epidural morphine 4mg were given and applied transdermal scopolamine patch on the skin behind her ear at the night before surgery. They were followed up for 3 days postoperatively and statistical analysis was done. There was a significant (p<0.05) reduction in nausea and vomiting between experimental group and control group. There was no significant incresed incidence in scopolamine side effects.
However, despite receiving transderrnal scopolamine patch there was still a high incidence (43.8%) of nausea and vomiting. |
Key Words:
Epidural morphine; Transdermal scopolamine; Nausea; Vomiting |
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