| The Effects of Prophylactic Metoclopramide and Induction with Propofol on Postoperative Nausea and Vomiting. |
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Hyun Hee Park, Kwan Sik Park, Sook Young Lee, Oi Gyeong Cho, Jae Hyung Kim, Jin Soo Kim, Dong Wook Shin |
1Department of Anesthesiology and Pain Medicine, School of Medicine, Ajou University, Suwon, Korea. anesylee@ajou.ac.kr
2Department of Anesthesiology and Pain Medicine, School of Medicine, Jeju University, Jeju, Korea. |
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| Abstract |
BACKGROUND
Postoperative nausea and vomiting (PONV) are common problems in patients undergoing a laparoscopic cholecystectomy. This study evaluated the effect of prophylactic metoclopramide (MCP) and induction with propofol on PONV.
METHODS
165 patients undergoing laparoscopic cholecystectomy were randomly divided into four groups.
Groups 1 (control group) and 2 were inducted with thiopental sodium. Groups 3 (propofol group) and 4 were inducted with propofol. Prophylactic metoclopramide 10 mg i.v. was administered in Groups 2 (MCP group) and 4 (propofol + MCP group). The incidence of PONV, the need for rescue antiemetics, adverse events, and the nausea severity scores were assessed at 0 to 1 hour and at 1 to 24 hours postoperatively.
RESULTS
During the first 24 hours after anesthesia, the incidence of PONV in Groups 1, 2, 3 and 4 was 41.5%, 29.3%, 30.3% and 23.3%, respectively. There was no significant difference between the groups. During the period, 1 hour to 24 hours, after anesthesia, the incidence of PONV in Groups 1, 2, 3 and 4 was 36.6%, 17.4%, 27.5% and 14.4%, respectively. The incidence of PONV in Group 4 was significantly lower than in Group 1 (P < 0.05).
CONCLUSIONS
In patients with laparoscopic cholecystectomy, a combination of prophylactic metoclopramide administration and induction with propofol was found to reduce the incidence of PONV by about 22.6% during the period 1 hour to 24 hours after anesthesia. |
| Key Words:
laparoscopic cholecystectomy; metoclopramide; postoperative nausea and vomiting (PONV); propofol |
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