trauma-list Digest, Vol 4, Issue 8

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In a message dated 10/10/2003 7:26:10 AM Eastern Standard Time, 
trauma-list-request at trauma.org writes:
Any thoughts, evidence, recommendations for cheap antiemetics or advice 
against using antiemetics at all would be much appreciated.
I have been searching for the perfect antiemetic for over 35 years.  
Something as tried and true as phenergan or small dose propofol can work but, IMHO 
very often nothing can reverse the cycle once begun.  Have had some patients 
breathe the vapors from an alcohol sponge while being transported to PACU and that 
relieved their nausea.  Low dose droperidol has been red flagged by the FDA 
in the USA yet it seems to work as well as any.  Haloperidol does seem like 
over kill.  Has anyone tried decadron for its combined effect?  It will be 
interesting to see what comes of your post since the problem is universal and would 
be most helpful if anyone has the ultimate solution.

Tom Sherman, CRNA
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