Comparison of Anesthetic Techniques for Preventing Postoperative Nausea and Vomiting Undergoing Thyroidectomy.
10.4097/kjae.2006.51.4.449
- Author:
Cheol Hun CHOI
1
;
Seong Wook JEONG
;
Sung Tae CHUNG
;
Hong Beom BAE
;
Jeong Il CHOI
;
Sung Su CHUNG
;
Kyung Yeon YOO
Author Information
1. Department of Anesthesiology and Pain Medicine, Medical School, Chonnam National University, Gwangju, Korea. anesman@jnu.ac.kr
- Publication Type:Original Article ; Randomized Controlled Trial
- Keywords:
anesthetics;
postoperative nausea and vomiting;
thyroidectomy
- MeSH:
Alfentanil;
Anesthesia;
Anesthetics;
Humans;
Incidence;
Nausea;
Nitrous Oxide;
Oxygen;
Postoperative Nausea and Vomiting*;
Propofol;
Thyroidectomy*;
Vomiting
- From:Korean Journal of Anesthesiology
2006;51(4):449-454
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: The aim of this study was to compare the anesthetic techniques for preventing postoperative nausea and vomiting (PONV) in the patients undergoing thyroidectomy. METHODS: Sixty patients of ASA status I or II, undergoing thyroidectomy were studied. Patients were allocated randomly to one of three groups. Group 1 (n = 22): anesthesia was induced by propofol (2 mg/kg) and maintained with desflurane and 50% nitrous oxide in oxygen. Group 2 (n = 22): anesthesia was induced and maintained propofol and alfentanil using a computer controlled infusion system in 60% medical air in oxygen. Group 3 (n = 16): anesthesia was induced propofol using computer controlled infusion system in combination 50% nitrous oxide in oxygen. The incidence of PONV was assessed at 6 and 24 hours after the surgery and standardized by Rhodes index of nausea, vomiting and retching (RINVR) score. RESULTS: In group 3, the incidence of PONV within the first 6 hours after surgery, was significantly lower as P < 0.05. But, there was no statistical differences among the three groups in the 6 to 24 hours' RINVR score after surgery. CONCLUSIONS: The use of propofol for induction and maintenance with combination 50% N2O is the most effective technique at preventing PONV among the three groups within the first 6 hours after thyroidectomy. This study found no statistically significant difference between the RINVR score, using desflurane-N2O and propofol-alfentanil.
