| Comparison of Postoperative Nausea and Vomiting between Gynecologic Surgery and Cesarean-Section during Intravenous Patient-Controlled Analgesia with Fentanyl. |
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Chang Kil Park, Hwan Yeong Choi, In Young Oh, Choon Kyu Cho, Myung Suk Kim |
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Department of Anesthesiology, Eulji University School of Medicine, Daejeon, Korea. |
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| 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. |
| Key Words:
cesarean-section; fentanyl; gynecologic surgery; patient-controlled analgesia; postoperative nausea and vomiting (PONV) |
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