Nausea and Vomiting after VIMA with Sevoflurane in Pediatric Patients / 대한마취과학회지
Korean Journal of Anesthesiology
; : 315-320, 2003.
Article
em Ko
| WPRIM
| ID: wpr-89064
Biblioteca responsável:
WPRO
ABSTRACT
BACKGROUND: Postoperative nausea and vomiting (PONV) is one of the most common complications after general anesthesia. Sevoflurane is a newer inhalational anesthetic agent and is commonly used in general anesthesia, especially in pediatric patients and outpatients. However, the incidence of PONV after volatile induction and maintenance of anesthesia (VIMA) with sevoflurane in pediatric patients has not been reported in Korea. In this study, the incidence of PONV after VIMA with sevoflurane in pediatric patients was evaluated. METHODS: A total of 251 pediatric patients, scheduled for inguinal surgery, extremity operation and perianal surgery, were selected for the study. None of the pediatric patients was given premedicants, opioids or reversal agents during VIMA. RESULTS: The incidence of PONV after VIMA with sevoflurane in pediatric patients was 9.2%. There were no significant differences in PONV incidence according to the sex or age. PONV commonly occurred immediately after anesthesia, with the incidence of 4.9% in the operating room and 3.2% in the recovery room, respectively. CONCLUSIONS: The VIMA technique with sevoflurane for brief operations could reduce the incidence of PONV but not to zero incidence. Therefore, anesthesiologists should pay attention to the possibility of PONV, and should consider not only the anesthetic methods and agents but also the use of antiemetics, especially in high risk patients.
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Texto completo:
1
Índice:
WPRIM
Assunto principal:
Salas Cirúrgicas
/
Pacientes Ambulatoriais
/
Sala de Recuperação
/
Vômito
/
Incidência
/
Náusea e Vômito Pós-Operatórios
/
Extremidades
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Analgésicos Opioides
/
Anestesia
/
Anestesia Geral
Tipo de estudo:
Incidence_studies
/
Prognostic_studies
Limite:
Humans
País/Região como assunto:
Asia
Idioma:
Ko
Revista:
Korean Journal of Anesthesiology
Ano de publicação:
2003
Tipo de documento:
Article