[Nausea and vomiting after gynecologic laparoscopies].
OBJECTIVE
To investigate the occurrence of postoperative nausea and vomiting (PONV) in relation to the menstrual cycle in patients anaesthetised with isoflurane and propofol.


METHODS
150 patients were randomly allocated to two groups (n = 75). All patients received antiemetic treatment with 20 micrograms/kg droperidol i.v. before induction of anaesthesia. In the isoflurane group, patients were anaesthetised with thiopental, fentanyl, vecuronium, and isoflurane; in the propofol group, with propofol, fentanyl, and vecuronium. Patients were ventilated with nitrous oxide/oxygen in both groups.


RESULTS
Under isoflurane-based anaesthesia PONV occurred in 22 (29%) patients, under propofol-based anaesthesia in 4 (5%) patients (p < 0.05). 41 study participants underwent laparoscopy during the first 8 days of the menstrual cycle. 12 (29%) of these patients developed PONV (p < 0.05 vs second and third phase of the menstrual cycle). 10 of these 12 study participants were in the isoflurane group. Postoperative shivering occurred in 38 (51%) patients anaesthetised with isoflurane and in 12 (16%) patients of the propofol group (p < 0.05).


CONCLUSIONS
The incidence of PONV is significantly higher when patients undergo laparoscopy during the first 8 days of the menstrual cycle. When compared to isoflurane, propofol results in a significantly lower incidence of PONV and postoperative shivering and a lower occurrence of postoperative pain.
Möllhoff
T
T
Klinik und Poliklinik für Anästhesiologie und operative Intensivmedizin, Westfälische Wilhelms-Universität, Münster.
Burgard
G
G
Prien
T
T
D000328:Adult; D000768:Anesthesia, General; D000818:Animals; D005260:Female; D005831:Genital Diseases, Female / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D007530:Isoflurane / Q000009:adverse effects; D010535:Laparoscopy; D008597:Menstrual Cycle / Q000187:drug effects / Q000502:physiology; D009325:Nausea / Q000209:etiology*; D011183:Postoperative Complications / Q000209:etiology*; D015742:Propofol / Q000009:adverse effects; D051381:Rats; D012307:Risk Factors; D014839:Vomiting / Q000209:etiology*
D007530:Isoflurane; D015742:Propofol
Ubelkeit und Erbrechen nach gynäkologischen Laparoskopien.