Prevention of post-operative naausea and vomiting following laparoscopic surgery Ephedrine vs. propofol

ABSTRACT

Postoperative nausea and vomiting [PONV] are relatively common troublesome distressing symptoms. The incidence is reported to be as high as 20-51%. Ninety adult ASA I and II patients scheduled for laparascopic gynecological or surgical interventions, were randomly and equally assigned to one of the three groups in the immediate postoperative period Group 1 received 0.1 ml. kg [-1] normal saline intravenously, while Group 2 received 0.5 mg. kg [-1] ephedrine intramuscularly and Group 3 received 0.25 mg. kg [-1] propofol intravenously as preventive antiemitic therapy. Sixty-six, 33 and 50 percent of patients experienced nausea and vomiting syndrome in Group 1, 2 and 3 respectively. Both ephedrine and propofol proved to have antiemetic properties. Ephedrine treated group of patient had significant less emetic score than propofol. No significant hemodynamic changes were recorded in both groups