Document Type : Original Article
Authors
1
Department of Surgery, School of Medicine, Ardabil University of Medical Sciences, Ardebil, Iran
2
Department of Anesthesiology, School of Medicine, Ardabil University of Medical Sciences, Ardebil, Iran
3
Social Determinants of Health Research Center, Department of Social Medicine, School of Medicine, Ardabil University of Medical Sciences, Ardabil, Iran
4
Department of Orthopedics, School of Medicine, Ardabil University of Medical Sciences, Ardebil, Iran
10.34172/ahj.2023.1364
Abstract
Background: The effect of nicotine on nausea, vomiting, and postoperative pain has been investigated in studies on animals
and humans. This study aimed to evaluate the effect of nicotine patch on decreasing nausea, vomiting, and pain in laparoscopic
cholecystectomy.
Methods: The study sample consisted of 100 non-smoking patients undergoing laparoscopic cholecystectomy under general
anesthesia in a triple-blind clinical trial. One hour after the start of surgery, patients were randomly assigned to receive 17.5-mg
nicotine or placebo patches. The patches located on the right arm were left for 24 hours. The visual analogue scale (VAS) for pain
and N/V score for the severity of nausea and vomiting were measured at intervals of 0, 6, 12, and 24 hours.
Findings: The results showed there was no statistically significant difference between the groups in terms of pain intensity as well
as nausea and vomiting at different time periods after surgery (P>0.05). A total of 36 patients in the nicotine group and 24 patients
in the placebo group received meperidine. There was also no statistically significant difference between the two groups in terms
of analgesics (P=0.096) and antiemetics (P=0.1). Moreover, the frequency of severe nausea and vomiting during the study in the
nicotine group was higher than in the placebo group (4 vs. 1) but this difference was not statistically significant (P>0.05).
Conclusion: Receiving a 17.5-mg nicotine patch had a similar effect to receiving placebo in controlling postoperative pain,
nausea, and vomiting in non-smokers. Nicotine use had no effect on reducing analgesia.
Highlights
Mirsalim Seyedsadeghi: (Google Scholar) (PubMed)
Amirahmad Arabzadeh: (Google Scholar) (PubMed)
Masood Entezariasl: (Google Scholar) (PubMed)
Bita Shahbazzadegan: (Google Scholar) (PubMed)
Sajjad Dindar: (Google Scholar) (PubMed)
Khatereh Isazadehfar: (Google Scholar) (PubMed)
Keywords
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