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Systemisk prokinetisk behandling af postoperativ ileus efter abdominalkirurgi. Gennemgang af et Cochrane-review
Engelsk titel: Systemic prokinetic treatment of postoperative ileus following abdominal surgery. Assessment of a Cochrane review Läs online Författare: Holte K Språk: Dan Antal referenser: 8 Dokumenttyp: Översikt UI-nummer: 10011201

Tidskrift

Ugeskrift for Laeger 2010;172(1)38-40 ISSN 0041-5782 E-ISSN 1603-6824 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

Based on the evidence presented in the Cochrane review "Systemic prokinetic pharmacologic treatment for postoperative adynamic ileus following abdominal surgery in adults", routine administration of systemic prokinetics for the prevention of postoperative ileus is not recommendable. The potential of selective opioid antagonists and intravenous lidocaine should be further investigated, particularly in conjunction with laparoscopic surgery, epidural pain management and fast-track surgery.