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Evaluate the safety and efficacy of administration of cisapride at a dose of 10 mg 3 times daily for 5 days for the prevention of delayed postoperative vomiting. Thirteen adult patients scheduled for major gastrointestinal surgery were randomized to receive once-daily cisapride 10 mg, pyridostigmine 60 mg, or placebo. Patients were also instructed to have clear fluids with meals and snacks and to avoid solid food until discharged. Emergence from anesthesia was assessed using the Observer’s Assessment of Alertness/Sedation Scale. Postoperatively, patients were given rescue medications including droperidol. Observers assessed pain, nausea, and vomiting using a visual analogue scale at 7 time points: 15, 30, 60, 90, 120, 150, and 180 min postoperatively. Average onset of full postoperative alertness occurred at 40.8 ± 8.9 min in the placebo group, 86.9 ± 24.8 min in the cisapride group, and 41.2 ± 12.8 min in the pyridostigmine group (cisapride vs. placebo; P = 0.018; cisapride vs. pyridostigmine; P = 0.056). Cisapride had a significantly greater effect than placebo on the frequency of nausea (cisapride vs. placebo: 10.0 ± 1.9
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