Comparison of Postoperative Nausea and Vomiting between Gynecologic Surgery and Cesarean-Section during Intravenous Patient-Controlled Analgesia with Fentanyl.
10.4097/kjae.2004.46.3.306
- Author:
Chang Kil PARK
1
;
Hwan Yeong CHOI
;
In Young OH
;
Choon Kyu CHO
;
Myung Suk KIM
Author Information
1. Department of Anesthesiology, Eulji University School of Medicine, Daejeon, Korea.
- Publication Type:Original Article
- Keywords:
cesarean-section;
fentanyl;
gynecologic surgery;
patient-controlled analgesia;
postoperative nausea and vomiting (PONV)
- MeSH:
Analgesia, Patient-Controlled*;
Anesthesia, General;
Enflurane;
Female;
Fentanyl*;
Gynecologic Surgical Procedures*;
Humans;
Incidence;
Postoperative Nausea and Vomiting*
- From:Korean Journal of Anesthesiology
2004;46(3):306-310
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: The purpose of this study was to compare the incidence of postoperative nausea and vomiting (PONV) in patients undergoing major gynecologic surgery with those undergoing Cesarean-section during intravenous patient-controlled analgesia (PCA). METHODS: Seventy two patients received general anesthesia with enflurane. Group 1 patients underwent major gynecologic surgery, and group 2 patients were parturients who underwent Cesarean-section. Postoperatively, fentanyl was continuously infused i.v. using Accufuser PLUS (basal, 2 ml/h; bolus, 0.5 ml; lockout interval, 15 min) containing fentanyl 25microgram/kg in saline. PONV was evaluated at 6, 12, 24 and 36 h after starting continuous infusion and compared in the two groups. RESULTS: The incidence of PONV was significantly lower in group 2 (14%) than in group 1 (67%) (P < 5). CONCLUSIONS: Our results show that the incidence of PONV was lower for Cesarean-section than for gynecologic surgery.
