This approach has been design ed to provide adequate analgesia while minimizing exposure to adverse events
Background : Laparoscopic cholecystectomy has advantages over the open procedure for postoperative pain .
However , a systematic review of postoperative pain management in this procedure has not been conducted .
The Effect of Anaesthetic Technique on Postoperative Nausea and Vomiting after Day-case Gynaecological Laparoscopy
Gynaecological surgery is of high emetogenic potential and both total intravenous anaesthesia ( TIVA ) and prophylactic antiemetic therapy may reduce the incidence of postoperative nausea and vomiting ( PONV ) . We studied 144 patients scheduled for day-case gynaecological laparoscopy in a r and omized trial comparing balanced inhalational anaesthesia and prophylactic dolasetron ( group I+D ) with propofol TIVA and dolasetron ( group T+D ) or TIVA alone ( group T ) . The primary outcome of “ complete response ” ( no vomiting , no treatment for PONV ) was not significantly different among groups ( 34 % , 51 % , 32 % ; groups I+D vs T+D vs T , P=0.12 ) . During the first hour after surgery , group I+D had nausea of greater severity ( P<0.03 ) . During hospital admission , group T had more vomiting ( P<0.03 ) . From discharge until 24 hours postoperatively , 55 % of group I+D experience nausea and 38 % vomited . The incidence and severity of nausea were significantly lower in the TIVA groups ( P<0.04 and < 0.05 respectively ) . There were no significant differences between groups T+D and T , although comparing all groups the complete response rate was highest and the post-discharge incidence and severity of nausea lowest in group T+D. In conclusion , propofol TIVA , with or without dolasetron , reduced postoperative nausea , but not perioperative vomiting or antiemetic requirement , when compared with inhalational anaesthesia plus dolasetron
This approach has been design ed to provide adequate analgesia while minimizing exposure to adverse events
Background : Laparoscopic cholecystectomy has advantages over the open procedure for postoperative pain .
However , a systematic review of postoperative pain management in this procedure has not been conducted .