Study of Ondansetron and Dexmedetomidine to Prevent Post-op Nausea and Vomiting in Patients Undergoing Laparoscopic Cholecystectomy Under General Anaesthesia

Authors

  • Satyal J Registrar, Department of Anaesthesia, St. Stephens Hospital, New Delhi, India

Keywords:

post-op nausea and vomiting, I/v dexmedetomidine, I/v ondansetron, laparoscopic cholecystectomy, general anaesthesia

Abstract

Introduction Post-operative nausea and vomiting is one of the most distressing problems faced by the anaesthesiologists worldwide which causes unpleasant side effects, delayed discharge and delayed wound healing. Aim To compare the efficacy of ondansetron with dexmedetomidine to prevent post operative nausea and vomiting. Materials and Method This randomised clinical trial study was performed on patients who were candidates for laparoscopic cholecystectomy referring to St. Stephens  hospital in New Delhi. In this study, 60 patients with laparoscopic cholecystectomy were randomly assigned to two groups (ondansetron and dexmedetomidine). Results We found that total incidence of PONV in 24 hours was 46.7% in Dexmedetomidine group and 30% in Ondansetron group. No significant side effects were noted by the use of the two drugs. Conclusion We concluded that the use of both Ondansetron and Dexmedetomidine is recommended for ameliorating PONV. In terms of efficacy, both the drugs are equally effective in reducing the incidence of PONV.

Downloads

Download data is not yet available.

References

Pierre S, Whelan R. Nausea and vomiting after surgery. Continuing Education in Anaesthesia, Critical Care & Pain. 2013 Feb 1;13(1):28-32

Rowbotham DJ. Current management of postoperative nausea and vomiting. British Journal of Anaesthesia. 1992 Jan 1;69:46S-59S

Shen YD, Chen CY, Wu CH, Cherng YG, Tam KW. Dexamethasone, ondansetron, and their combination and postoperative nausea and vomiting in children undergoing strabismus surgery: a meta‐analysis of randomized controlled trials. Pediatric Anesthesia. 2014 May;24(5):490-8.

Choi EK, Seo Y, Lim DG, Park S. Postoperative nausea and vomiting after thyroidectomy: a comparison between dexmedetomidine and remifentanil as part of balanced anesthesia. Korean journal of anesthesiology. 2017 Jun;70(3):299.

Kamali A, Ahmadi L, Shokrpour M, Pazuki S. Investigation of ondansetron, haloperidol, and dexmedetomidine efficacy for prevention of postoperative nausea and vomiting in patients with abdominal hysterectomy. Open access Macedonian journal of medical sciences. 2018 Sep 25;6(9):1659

Roila F. Ondansetron plus dexamethasone compared to the ‘standard’metoclopramide combination. Oncology. 1993;50(3):163-7.

Li S, Liu T, Xia J, Jia J, Li W. Effect of dexmedetomidine on prevention of postoperative nausea and vomiting in pediatric strabismus surgery: a randomized controlled study. BMC ophthalmology. 2020 Dec;20(1):1-6.

Downloads

Published

30-06-2022

How to Cite

Satyal, J. kaur. (2022). Study of Ondansetron and Dexmedetomidine to Prevent Post-op Nausea and Vomiting in Patients Undergoing Laparoscopic Cholecystectomy Under General Anaesthesia. GMC Patiala Journal of Research and Medical Education, 5(01), 21–26. Retrieved from https://jrme.gmcpatiala.edu.in/index.php/j/article/view/98

Issue

Section

Original Research Articles