PMID: 6127150Sep 1, 1982

Comparative trial of the effect of ranitidine and cimetidine on gastric secretion in fasting patients at induction of anaesthesia

Canadian Anaesthetists' Society Journal
J M Durrant, L Strunin

Abstract

A comparative trial of the H2-receptor antagonists, cimetidine and ranitidine, on gastric pH and volume, was conducted in 168 healthy patients coming to elective surgery. The drugs were administered in random fashion either intravenously (ranitidine 50 mg or 100 mg, cimetidine 300 mg or placebo) or orally (ranitidine 150 mg, cimetidine 300 mg or placebo). The patients received the drugs or placebo 45 minutes to five hours before operation. After induction of anaesthesia, a nasogastric tube was passed and the stomach contents were aspirated. The volume and pH were measured. Those patients receiving ranitidine 50 or 100 mg or cimetidine 300 mg intravenously had statistically significantly higher gastric pH compared to those receiving placebo, but up to eight percent of patients has a pH less than 2.5. Oral administration of cimetidine 300 mg or ranitidine 150 mg were also superior when compared to placebo. However, 25 per cent of the patients receiving oral cimetidine had a pH less than 2.5; cimetidine orally was statistically significantly inferior to ranitidine 100 mg given intravenously. We conclude that the intravenous use of either ranitidine or cimetidine is an acceptable method to decrease the acidity of gastric contents b...Continue Reading

References

Jan 1, 1978·Canadian Anaesthetists' Society Journal·B Y OngM Cumming
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Citations

Sep 1, 1990·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·J R MaltbyE A Shaffer
Oct 1, 1992·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·G V GoreskyE A Shaffer
Jan 1, 1988·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·J R MaltbyA Hutchinson
Sep 1, 1985·Canadian Anaesthetists' Society Journal·J G Stock, A D Sutherland
May 1, 1983·Canadian Anaesthetists' Society Journal·J G Williams
Mar 1, 1987·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·A D SutherlandC R Reid
May 1, 1986·Canadian Anaesthetists' Society Journal·R L McCammon
Nov 1, 1988·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·J R MaltbyE A Shaffer
Mar 1, 1988·Journal of Anesthesia·T OkudaK Suekane
Jan 1, 1984·Pharmacology & Therapeutics·R E Pounder
Jul 1, 1997·International Journal of Obstetric Anesthesia·G O'Sullivan
Jun 1, 1990·Anaesthesia·L Ng WingtinS Phil
Jan 1, 1993·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·D VerbessemA Van de Velde
Dec 18, 1987·The American Journal of Medicine·T H Joyce
Jul 1, 1987·Acta Anaesthesiologica Scandinavica·N G Goudsouzian, E T Young
May 1, 1987·Acta Anaesthesiologica Scandinavica·R OrkoP H Rosenberg
Apr 1, 1987·Anaesthesia·J Thorburn, D D Moir
Jan 1, 1987·European Journal of Clinical Pharmacology·D A SicaF Eshelman
Mar 1, 1989·DICP : the Annals of Pharmacotherapy·E R Gonzalez, S K Kallar

Related Concepts

Teens
Anesthesia Procedures
Tagamet
Fasting
Tetrahydrofurans
Gastric Acid
Guanidines
Histamine H2 Antagonists
Intravenous Injections
Aspiration Pneumonia

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