Abstract
A rare Case of Right Sided Bochdalek Hernia Co-existing with Intrathoracic Kidney
Highlights
Postoperative nausea and vomiting (PONV) is one of the most common complaints following anaesthesia
Nausea was mostly of the mild form in the metoclopramide group with 8 patients (24.2%) while 3 patients (9.1%) experienced severe nausea, the ondansetron group had 3 patients (9.1%) experiencing severe nausea while 2 patients (6.1%) experienced mild nausea (p=0.2). This suggests that though the overall incidence of nausea was less in the ondansetron group compared to metoclopramide group, the former did not prevent severe nausea than the latter
Quaynor et al[16] in their research used similar drugs as this study for 122 patients undergoing laparoscopic cholecystectomy and found that though the overall incidences of PONV were similar in both groups (43% for ondansetron group and 47% for metoclopramide), the proportion of patients that had moderate to severe symptoms were significantly higher in the ondansetron group compared to the metoclopramide group (61% vs 35%)
Summary
Postoperative nausea and vomiting (PONV) is one of the most common complaints following anaesthesia. Transient nausea and vomiting in the early postoperative period are certainly troublesome and undesirable complications of anaesthesia.[1,2] refractory postoperative nausea and vomiting requiring repeated treatment with antiemetic drugs is a miserable experience for the patient.[2] PONV is usually listed by patients as their most important perioperative concern.[3] PONV is typically seen following laparoscopic surgeries,[4] with incidences as high as 70%.5 This is due to pneumoperitoneum causing stimulation of mechanoreceptors in the gut.[6] If severe, vomiting may result in bleeding at the. Conclusion: Ondansetron was more effective in the prevention of the mild form of nausea, the two study drugs are effective for the prevention of vomiting
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