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Comparison of Anesthetic Techniques for Preventing Postoperative Nausea and Vomiting Undergoing Thyroidectomy / 대한마취과학회지
Article in Korean | WPRIM (Western Pacific) | ID: wpr-205608
Responsible library: WPRO
ABSTRACT

BACKGROUND:

The aim of this study was to compare the anesthetic techniques for preventing postoperative nausea and vomiting (PONV) in the patients undergoing thyroidectomy.

METHODS:

Sixty patients of ASA status I or II, undergoing thyroidectomy were studied. Patients were allocated randomly to one of three groups. Group 1 (n = 22) anesthesia was induced by propofol (2 mg/kg) and maintained with desflurane and 50% nitrous oxide in oxygen. Group 2 (n = 22) anesthesia was induced and maintained propofol and alfentanil using a computer controlled infusion system in 60% medical air in oxygen. Group 3 (n = 16) anesthesia was induced propofol using computer controlled infusion system in combination 50% nitrous oxide in oxygen. The incidence of PONV was assessed at 6 and 24 hours after the surgery and standardized by Rhodes index of nausea, vomiting and retching (RINVR) score.

RESULTS:

In group 3, the incidence of PONV within the first 6 hours after surgery, was significantly lower as P < 0.05. But, there was no statistical differences among the three groups in the 6 to 24 hours' RINVR score after surgery.

CONCLUSIONS:

The use of propofol for induction and maintenance with combination 50% N2O is the most effective technique at preventing PONV among the three groups within the first 6 hours after thyroidectomy. This study found no statistically significant difference between the RINVR score, using desflurane-N2O and propofol-alfentanil.
Subject(s)

Full text: Available Database: WPRIM (Western Pacific) Main subject: Oxygen / Thyroidectomy / Vomiting / Alfentanil / Propofol / Incidence / Postoperative Nausea and Vomiting / Anesthesia / Anesthetics / Nausea Type of study: Incidence study / Prognostic study Limits: Humans Language: Korean Journal: Korean Journal of Anesthesiology Year: 2006 Document type: Article
Full text: Available Database: WPRIM (Western Pacific) Main subject: Oxygen / Thyroidectomy / Vomiting / Alfentanil / Propofol / Incidence / Postoperative Nausea and Vomiting / Anesthesia / Anesthetics / Nausea Type of study: Incidence study / Prognostic study Limits: Humans Language: Korean Journal: Korean Journal of Anesthesiology Year: 2006 Document type: Article
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