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Post by Chris Velarde on Dec 18, 2018 18:20:20 GMT -5
I do not routinely use reglan for prevention of PONV. I believe the Apfel scoring system utilized in large anesthesia groups does not include reglan in their scoring system protocol. I have used it in the past for Gastric bypass surgeries when Zofran was not generic and did not have any known problems. The EPS was not a common complaint.
I do think we should use this drug to provide some relief of PONV if Zofran, decadron, Phenergan, does not offer relief in the PACU.
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Post by Jennifer Hannon on Dec 19, 2018 9:28:14 GMT -5
1) I do not Reglan-ly use Reglan. I will put it as a third option for the PACU nurse on occasion because I've given Zofran, Scop patch, 6.25-12.5 Phenergan already, but as well all know, Reglan works by ramping up peristalsis (to which I believe wouldn't be too comfortable at times post-laparoscopic) and I do enough PEHs and other colorectal that would contraindicate this mechanism of action. I DO give Once PRN 160 simethicone to the PACU nurse discretion as well, especially after Robotic and other Laparoscopic cases, or if I've BMV'd a lot and it has helped with nausea immensely per the PACU nurses. Also, adds another relatively super benign agent to choose PRN, and add a mild placebo effect as well. If any of you have taken GasX and Zofran before (pregnant or not) its a game changer!! 2) This will not change my practice, because I do anesthesia in colorectal, PEH and HH cases, frequently and/or the extrapyramidal side effects/drug interactions knock out most of the other patients.
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Kristen Praesel Lang
Guest
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Post by Kristen Praesel Lang on Dec 31, 2018 6:23:34 GMT -5
When I trained and first graduated from anesthesia school, we routinely gave reglan to obstetrics patients undergoing a C section and more freely administered it in the operating room in a multimodal approach to prevent PONV. However, due to it's extrapyramidal side effects, I seldom use reglan. There are other drug options I administer as first line antiemetics, as well as to achieve a multimodal approach in efforts to prevent PONV (zofran, decadron, scopolamine, promethazine, TIVA). I do not think this article will lead to changing my practice, but I would possiby use reglan as a last line of defense against PONV.
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nanci
Junior Member
Posts: 57
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Post by nanci on Jan 3, 2019 13:36:33 GMT -5
1)Have not used a lot of Reglan in my practice. Used it as a SRNA but not much since.
2)Article will not change my practice.
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Post by jessica switzman on Jan 7, 2019 9:32:53 GMT -5
1. I do not use a lot of Reglan in my practice. The article was interesting but I do not think I will change my practice and like Zofran and or Decadron when appropriate.
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