Incidence of postoperative nausea and vomiting after paediatric strabismus surgery with sevoflurane or remifentanil–sevoflurane

Apr 27, 2010British journal of anaesthesia

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

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Abstract

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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