PROPOFOL ANESTHESIA REDUCES EARLY POSTOPERATIVE EMESIS AFTER PEDIATRIC STRABISMUS SURGERY

被引:61
作者
REIMER, EJ
MONTGOMERY, CJ
BEVAN, JC
MERRICK, PM
BLACKSTOCK, D
POPOVIC, V
机构
[1] BRITISH COLUMBIA CHILDRENS HOSP,DEPT ANAESTHESIA,4480 OAK ST,VANCOUVER V6H 3V4,BC,CANADA
[2] UNIV BRITISH COLUMBIA,DEPT ANESTHESIA,VANCOUVER V6T 1W5,BC,CANADA
来源
CANADIAN JOURNAL OF ANAESTHESIA-JOURNAL CANADIEN D ANESTHESIE | 1993年 / 40卷 / 10期
关键词
ANESTHESIA; OUTPATIENT; PEDIATRIC; OPHTHALMOLOGIC; ANESTHETICS; GASES; NITROUS OXIDE; INTRAVENOUS; PROPOFOL; THIOPENTONE; VOLATILE; HALOTHANE; VOMITING; INCIDENCE;
D O I
10.1007/BF03010094
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Propofol anaesthesia may reduce postoperative emesis. The purpose of this study was to compare the incidence of emesis after propofol anaesthesia with and without nitrous oxide, compared with thiopentone and halothane anaesthesia, in hospital and up to 24 hr postoperatively, in outpatient paediatric patients after strabismus surgery. Seventy-five ASA class I or II unpremedicated patients, aged 2-12 yr were randomly assigned to one of three groups. Thiopentone, 6.0 mg . kg-1 iv induction followed by halothane and N2O/O2 for maintenance (T/H); propofol for induction, followed by propofol and oxygen for maintenance (P/O2), and propofol for iv induction, followed by propofol infusion and N2O/O2 for maintenance (P/N2O). All received vecuronium, controlled ventilation, and acetaminophen pr Morphine was given as needed for postoperative analgesia. There were no differences in age, weight, number of eye muscles operated upon, duration of anaesthesia or surgery. The P/N2O group (255 +/- 80 mug . kg-1 . min-1) received less propofol than the P/O2 group (344 +/- 60 mug . kg-1 . min-1) (P less-than-or-equal-to 0.0001) and had shorter extubation (P < 0.001) and recovery (P < 0.01) times. Emesis in the hospital in both the P/N2O (4.0%) and P/O2 group (4.0%) was less than in the T/H group (32%) (P < 0.01). Antiemetics were required in four patients in the T/H group (16.0%). Overall emesis after surgery was not different among the groups. T/H (48%), P/O2 (28%) and P/N2O (42%). The use of propofol anaesthesia with and without N2O decreased only early emesis. This supports the concept of a short-acting, specific antiemetic effect of propofol
引用
收藏
页码:927 / 933
页数:7
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