title: Comparison of palanosetron with ondansetron for postoperative nausea and vomiting in patients undergoing laparoscopic cholecystectomy under general anesthesia.
abstract: BACKGROUND
  Post-operative nausea and vomiting (PONV) is a 'big little' problem especially after laparoscopic surgeries. Palanosetron is a new potent 5 hydroxy tryptamine 3 antagonists. In this randomized double blind clinical study we compared the effects of i.v. ondansetron and palanosetron administered at the end of surgery in preventing post-operative nausea and vomiting in patients undergoing laparoscopic cholecystectomy under general anesthesia.
  
  
  METHODS
  A total of 100 subjects between 18-60 years with Apfel score ≥2, were randomly assigned into one of the two groups, containing 50 patients each. Group A received ondansetron 4 mg i.v. and Group B received palanosetron 0.07 5mg i.v. both as bolus before induction. The incidence of nausea, retching and vomiting, incidence of total PONV, requirement of rescue antiemetics and adverse effects were evaluated during the first 24 h following end of surgery.
  
  
  RESULTS
  The incidence of nausea was significantly lower in patients who had received palanosetron (16%) as compared to ondansetron (24%). Need of rescue antiemetics was significantly higher in patients receiving ondansetron (32%) as compared to palanosetron (16%). The incidence of total PONV was also significantly lower in group receiving palanosetron (20%) as compared to ondansetron (50%). Among the side effects, headache was noted significantly higher with ondansetron (20%) as compared to palanosetron (6%).
  
  
  CONCLUSIONS
  Palanosetron has got better anti-nausea effect, less need of rescue antiemetics, favourable side effect profile and a decrease in the incidence of total PONV as compared to ondansetron in 24 h post operative period in patients undergoing laproscopic cholecystectomy under general anesthesia.
authors.affiliation: Department of Anesthesiology, ESIC Hospital, Sector 15, Rohini, New Delhi, India.
authors.forename: Jyoti
authors.initials: J
authors.lastname: Bhalla
authors.affiliation: Department of Anesthesiology, ESIC Hospital, Sector 15, Rohini, New Delhi, India.
authors.forename: Neha
authors.initials: N
authors.lastname: Baduni
authors.affiliation: Department of Anesthesiology, ESIC Hospital, Sector 15, Rohini, New Delhi, India.
authors.forename: Pooja
authors.initials: P
authors.lastname: Bansal
keywords: Laparoscopic; nausea; ondansetron; palanesteron; post operative; vomiting