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Korean Journal of Anesthesiology 2004;46(3):306-310.
DOI: https://doi.org/10.4097/kjae.2004.46.3.306   
Comparison of Postoperative Nausea and Vomiting between Gynecologic Surgery and Cesarean-Section during Intravenous Patient-Controlled Analgesia with Fentanyl.
Chang Kil Park, Hwan Yeong Choi, In Young Oh, Choon Kyu Cho, Myung Suk Kim
Department of Anesthesiology, Eulji University School of Medicine, Daejeon, Korea.
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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