2.50
Hdl Handle:
http://hdl.handle.net/10755/165002
Category:
Abstract
Type:
Presentation
Title:
The Role of Aromatherapy in Postoperative Nausea and Vomiting
Author(s):
Kitzler, Robina; Nolan, Stephanie
Author Details:
Robina Kitzler, BSN, RN, CPAN, CNIV, PACU, Clinical Nurse IV, Memorial Sloan Kettering Cancer Center, New York, New York, USA, email: rktzlr@aol.com; Stephanie Nolan, MS, RN, CPAN
Abstract:
Clinical/Evidence Based Practice: Postoperative Nausea and Vomiting (PONV) is a common complaint following surgery. Complications related to PONV can cause prolonged post anesthesia care unit (PACU) stays, unanticipated hospital admissions, surgical complications and psychological discomfort. A Nursing PACU Evidence-Based practice committee investigated the use of aromatherapy as a complimentary treatment for PONV. Isopropyl alcohol (IPA) is currently being used by PACU nurses at Memorial Sloan Kettering Cancer Center (MSKCC) as an aromatherapy treatment for PONV without the evidence to support its use. Aromatherapy is not part of the standard PONV guidelines. An evidence-based review was conducted regarding the use of aromatherapy in PONV. The search produced meta-analyses and randomized control trials (RCTs). The Clinical Guidelines for the Prevention and/or Management of PONV formulated through and evidence-based review by the American Society of Peri-Anesthesia Nursing were reviewed. These guidelines reviewed 109 articles and were ranked using the Stetler Model. Aromatherapy agents such as isopropyl alcohol, ginger, and peppermint were ranked as effective rescue interventions for PONV. A five day survey was conducted on current PONV prophylaxis and rescue interventions on 169 patients in the PACU. The results showed prophylaxis and rescue interventions varied widely and IPA was frequently used, although not part of the current institutional PONV guidelines. A multi-disciplinary meeting was held with anesthesia providers, pharmacists, and nurses to review our current PONV practice and explore the addition of aromatherapy. Consensus was achieved, and aromatherapy was added to the PONV guidelines as a rescue intervention. In addition, modifications were made to the timing and administration of PONV prophylaxis to decrease the interval between antiemetic doses during long cases. Our current PONV prophylaxis and rescue interventions guidelines were revised, which provides standardized practice for all patients. Aromatherapy was approved and included as a rescue intervention, allowing patients an opportunity for an alternative adjunct to treat PONV. Based on the presentation of our findings to our oncology nursing colleagues, aromatherapy will be explored as part of the MSKCC antiemetic guidelines for chemo/biologic therapy. A multi-disciplinary group is currently investigating aromatherapy products in addition to IPA that may be used for PONV.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2009
Conference Name:
34th Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
San Antonio, Texas, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleThe Role of Aromatherapy in Postoperative Nausea and Vomitingen_GB
dc.contributor.authorKitzler, Robinaen_US
dc.contributor.authorNolan, Stephanieen_US
dc.author.detailsRobina Kitzler, BSN, RN, CPAN, CNIV, PACU, Clinical Nurse IV, Memorial Sloan Kettering Cancer Center, New York, New York, USA, email: rktzlr@aol.com; Stephanie Nolan, MS, RN, CPANen_US
dc.identifier.urihttp://hdl.handle.net/10755/165002-
dc.description.abstractClinical/Evidence Based Practice: Postoperative Nausea and Vomiting (PONV) is a common complaint following surgery. Complications related to PONV can cause prolonged post anesthesia care unit (PACU) stays, unanticipated hospital admissions, surgical complications and psychological discomfort. A Nursing PACU Evidence-Based practice committee investigated the use of aromatherapy as a complimentary treatment for PONV. Isopropyl alcohol (IPA) is currently being used by PACU nurses at Memorial Sloan Kettering Cancer Center (MSKCC) as an aromatherapy treatment for PONV without the evidence to support its use. Aromatherapy is not part of the standard PONV guidelines. An evidence-based review was conducted regarding the use of aromatherapy in PONV. The search produced meta-analyses and randomized control trials (RCTs). The Clinical Guidelines for the Prevention and/or Management of PONV formulated through and evidence-based review by the American Society of Peri-Anesthesia Nursing were reviewed. These guidelines reviewed 109 articles and were ranked using the Stetler Model. Aromatherapy agents such as isopropyl alcohol, ginger, and peppermint were ranked as effective rescue interventions for PONV. A five day survey was conducted on current PONV prophylaxis and rescue interventions on 169 patients in the PACU. The results showed prophylaxis and rescue interventions varied widely and IPA was frequently used, although not part of the current institutional PONV guidelines. A multi-disciplinary meeting was held with anesthesia providers, pharmacists, and nurses to review our current PONV practice and explore the addition of aromatherapy. Consensus was achieved, and aromatherapy was added to the PONV guidelines as a rescue intervention. In addition, modifications were made to the timing and administration of PONV prophylaxis to decrease the interval between antiemetic doses during long cases. Our current PONV prophylaxis and rescue interventions guidelines were revised, which provides standardized practice for all patients. Aromatherapy was approved and included as a rescue intervention, allowing patients an opportunity for an alternative adjunct to treat PONV. Based on the presentation of our findings to our oncology nursing colleagues, aromatherapy will be explored as part of the MSKCC antiemetic guidelines for chemo/biologic therapy. A multi-disciplinary group is currently investigating aromatherapy products in addition to IPA that may be used for PONV.en_GB
dc.date.available2011-10-27T12:10:48Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:10:48Z-
dc.conference.date2009en_US
dc.conference.name34th Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationSan Antonio, Texas, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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