• Abhijeet Rajan Mishra, Uma Srivastava, Dharmendra Kumar, Namita Saraswat, Aditya Kumar, Yashwant S Payal, Amrita Gupta, and Ankit Darolia.
• Department of Anaesthesiology and Critical Care and Department of ENT, S. N. Medical College, Agra, UP India.
• Indian J Otolaryngol. 2010 Jan 1;62(1):29-31.

AimsTo evaluate the antiemetic efficacy of ondansetron, metoclopramide or small dose of propofol following ear, nose and throat (ENT) surgery.Materials And MethodsA prospective randomized study involving 60 patients, both children and adults undergoing elective ENT surgery under standard general anesthesia. At the completion of surgery the patients received either 0.1 mg/kg of ondansetron or 0.2 mg/kg of metoclopramide or 0.5 mg/kg of propofol intravenously. The patients were observed for 24 hrs after operation for any occurrence of nausea and vomiting.ResultsThe incidence of postoperative nausea and vomiting (PONV) during first 24 hrs was recorded in 20%, 70%, 50% of patients who had received ondansetron, metoclopr-amide or propofol respectively (p < 0.05). Fewer patients given ondansetron needed rescue antiemetic. The incidence of PONV was higher following middle year surgery.ConclusionIt was concluded that ondansetron was most effective in preventing occurrence of PONV while metoclopramide was least effective. Propofol was effective only in 50% of patients, thus not recommended for routine use.

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