Reexamining metoclopramide's role in the prevention of postoperative nausea and vomiting: A secondary analysis

Amy J. Masiongale, Barbara Jane Threatt Garvin, Marguerite Murphy, Vallire D. Hooper, Jan Odom-Forren, James I. Masiongale, Stephen Warwick Looney

Research output: Contribution to journalArticle

Abstract

Postoperative nausea and vomiting (PONV) continue to be among the most undesirable and distressing complications following general anesthesia, affecting 20% to 30% of all surgical patients and up to 70% of patients with multiple known risk factors. The purpose of this study was to reexamine the effectiveness of metoclopramide in the prevention of PONV when stratified by PONV risk scores. Secondary data from 2,116 adult ambulatory surgical patients were analyzed. Participants were, on average (SD), 49.7 (15.4) years of age, with a mean body mass index of 28.3 (6.9) kg/m2, and were primarily female (65%). Risk scores for PONV ranged from 0 to 4, with a mean of 2.6 (1.0). Metoclopramide, 10 mg intravenously (IV) alone; metoclopramide, 10 mg IV, combined with ondansetron, 4 mg IV; and metoclopramide, 10 mg IV, combined with dexamethasone, 8 mg IV, and ondansetron, 4 mg IV, had a beneficial effect for adult ambulatory surgical patients with PONV risk scores of 1 to 4. Although this cohort study had limitations, future studies should investigate metoclopramide based on risk score recommendations, and guidelines should be reevaluated.

Original languageEnglish (US)
Pages (from-to)213-219
Number of pages7
JournalAANA Journal
Volume86
Issue number3
StatePublished - Jun 1 2018

Keywords

  • Metoclopramide
  • Nausea and vomiting
  • Postoperative
  • Prophylaxis
  • Risk

ASJC Scopus subject areas

  • Medical–Surgical
  • Advanced and Specialized Nursing
  • Anesthesiology and Pain Medicine

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  • Cite this

    Masiongale, A. J., Garvin, B. J. T., Murphy, M., Hooper, V. D., Odom-Forren, J., Masiongale, J. I., & Looney, S. W. (2018). Reexamining metoclopramide's role in the prevention of postoperative nausea and vomiting: A secondary analysis. AANA Journal, 86(3), 213-219.