| Nausea and Vomiting after Tympanomastoidectomy: Effect of Small Dose of Fentanyl. |
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Jong Hoon Yeom, Sang Yoon Cho, Woo Jong Shin, Yong Chul Kim, Dong Ho Lee, Hee Koo Yoo |
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Department of Anesthesiology, School of Medicine, Hanyang University, Seoul, Korea. |
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| Abstract |
BACKGROUND
Nausea and vomiting are among the most common postoperative complaints. There is high incidence of emesis after middle ear surgery and opioids increase the prevalence of postoperative nausea and vomiting.
METHODS
Sixty six adult patients undergoing routine tympanomastoidectomy under general anesthesia were divided into two groups to study the incidence and effect of intraoperative fentanyl as supplements on postoperative nausea and vomiting. Patients in group 1 received medical air instead of N2O about 15 minutes before grafting, while patients in group 2 received not only medical air instead of N2O, but also intravenous fentanyl (1~1.5 microgram/kg).
RESULTS
The incidences of nausea and vomiting in the group 1 and 2 were 19.4% and 22.9%, respectively. There was no significant difference of postoperative nausea and vomiting between the group 1 and group 2 (P=0.73).
CONCLUSION
The incidence of nausea and vomiting after tympanomastoidectomy in adult was not higher than comprehensive that of recent other reports and a small dose of fentanyl, given intraoperatively for supplementation, did not increase the prevalence of nausea and vomiting. |
| Key Words:
Anesthetics, volatile, enflurane; Analgesics, fentanyl; Complications, nausea, vomiting; Surgery, tympanomastoidectomy |
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