Nausea and vomiting after children's eye muscle surgery with sevoflurane alone or combined with remifentanil

The incidence of postoperative nausea and vomiting (PONV) was 17.9% for sevoflurane and 12.8% for remifentanil-sevoflurane in 78 pediatric patients undergoing strabismus surgery.

• Stable arterial pressure and heart rate were observed throughout the surgery in both anaesthetic groups.
• Significantly lower arterial pressure and heart rate were recorded in the remifentanil-sevoflurane group after tracheal intubation and skin incision.
• The incidence of postoperative vomiting was similar between the two anaesthetic methods.
• Combining remifentanil with sevoflurane did not increase the incidence of PONV beyond that observed with sevoflurane alone.

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