The Effect of Anaesthetic Technique on Postoperative Nausea and Vomiting After Day-case Gynaecological Laparoscopy

Mike Paech, B.H.S. Lee, S.F. Evans

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    20 Citations (Scopus)

    Abstract

    Gynaecological surgery is of high emetogenic potential and both total intravenous anaesthesia (TIVA) and prophylactic antiemetic therapy may reduce the incidence of postoperative nausea and vomiting (PONY).We studied 144 patients scheduled for day-case gynaecological laparoscopy, in a randomized trial comparing balanced inhalational anaesthesia and prophylactic dolasetron (group I+D) with propofol TIVA and dolasetron (group T+D) or TIVA alone (group T). The primary outcome of "complete response" (no vomiting, no treatment for PONV) was not significantly different among groups (34%, 51%, 32%; groups I+D vs T+D vs T, P=0.12). During the first hour after surgery, group I+D had nausea of greater severity, (P
    Original languageEnglish
    Pages (from-to)153-159
    JournalAnaesthesia and Intensive Care
    Volume30
    Publication statusPublished - 2002

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