The Effect of Ondansetron or Dolasetron for the Prevention of Postoperative Nausea and Vomiting in Patients with Intravenous Patient-controlled Analgesia.

Kim,  Min Suk; Lee,  Sook Young; Kim,  Jin Soo; Min,  Sang Kee; Park,  Young Duk; Park,  Hyung Joo

doi:2007.53.5.624

Randomized Controlled Trial

Korean Journal of Anesthesiology 2007;53(5):624-629.
DOI: https://doi.org/10.4097/kjae.2007.53.5.624

The Effect of Ondansetron or Dolasetron for the Prevention of Postoperative Nausea and Vomiting in Patients with Intravenous Patient-controlled Analgesia.

Min Suk Kim, Sook Young Lee, Jin Soo Kim, Sang Kee Min, Young Duk Park, Hyung Joo Park

¹Department of Anesthesiology and Pain Medicine, School of Medicine, Ajou University, Suwon, Korea. anesylee@ajou.ac.kr
²Department of Anesthesiology and Pain Medicine, Seoul Veterans Hospital, Seoul, Korea.

Abstract

BACKGROUND
Postoperative nausea and vomiting (PONV) are common problems in patients undergoing breast surgery or with intravenous patient-controlled analgesia (IV PCA). We evaluated the effect of ondansetron or dolasetron for the prevention of PONV in patients undergoing a mastectomy with IV PCA.
METHODS
A total of 126 patients were randomly divided into three groups. The PCA group was a control group. For the PCAO group (IV PCA mixed with ondanseron), 4 mg ondansetron was intravenously injected 30 min before the end of surgery and 8 mg was mixed in IV PCA. For the PCAD group (IV PCA mixed with dolasetron), 10 mg dolasetron and 20 mg was administered as same manner with the PCAO group. The incidence of PONV, the need for rescue antiemetics, adverse events, and the nausea and vomiting severity score were analyzed for 1 hour and 24 hours postoperative periods.
RESULTS
During the first 24 hours postoperatively, the incidence of PONV was 76.2% for the PCA group, 70.7% for the PCAO group (P > 0.05 versus the PCA group) and 66.7% for the PCAD group (P > 0.05 versus the PCA group), respectively. The incidence of need for rescue antiemetics was 40.5% for the PCA group, 9.5% for the PCAO group (P < 0.05 versus the PCA group) and 4.8% for the PCAD group (P < 0.05 versus the PCA group), respectively.
CONCLUSIONS
In the patients receiving IV PCA after a mastectomy, ondansetron or dolasetron were not effective for the reduction of the incidence of PONV. However, the need for rescue antiemetics was significantly decreased.

Key Words: dolasetron; intravenous patient-controlled analgesia; mastectomy; ondansetron; postoperative nausea and vomiting