Korean J Anesthesiol.  2013 Feb;64(2):122-126. 10.4097/kjae.2013.64.2.122.

Comparison of palonosetron with ondansetron in prevention of postoperative nausea and vomiting in patients receiving intravenous patient-controlled analgesia after gynecological laparoscopic surgery

• Kim YY
• Moon SY
• Song DU
• Lee KH
• Song JW
• Kwon YE

• KMID: 1798224
• DOI: http://doi.org/10.4097/kjae.2013.64.2.122

Abstract

BACKGROUND
Postoperative nausea and vomiting (PONV) are common complications after anesthesia and surgery. This study was designed to compare the effects of palonosetron and ondansetron in preventing PONV in high-risk patients receiving intravenous opioid-based patient-controlled analgesia (IV-PCA) after gynecological laparoscopic surgery.
METHODS
One hundred non-smoking female patients scheduled for gynecological laparoscopic surgery were randomly assigned into the palonosetron group (n = 50) or the ondansetron group (n = 50). Palonosetron 0.075 mg was injected as a bolus in the palonosetron group. Ondansetron 8 mg was injected as a bolus and 16 mg was added to the IV-PCA in the ondansetron group. The incidences of nausea, vomiting and side effects was recorded at 2 h, 24 h, 48 h and 72 h, postoperatively.
RESULTS
There were no significant differences between the groups in the incidence of PONV during 72 h after operation. However, the incidence of vomiting was lower in the palonosetron group than in the ondansetron group (18% vs. 4%, P = 0.025). No differences were observed in use of antiemetics and the side effects between the groups.
CONCLUSIONS
The effects of palonosetron and ondansetron in preventing PONV were similar in high-risk patients undergoing gynecological laparoscopic surgery and receiving opioid-based IV-PCA.

Keyword

Intravenous patient-controlled analgesia; Ondansetron; Palonosetron; Postoperative nausea and vomiting

MeSH Terms

Analgesia, Patient-Controlled
Anesthesia
Antiemetics
Female
Humans
Incidence
Isoquinolines
Laparoscopy
Nausea
Ondansetron
Postoperative Nausea and Vomiting
Quinuclidines
Vomiting
Antiemetics
Isoquinolines
Ondansetron
Quinuclidines