• M St Pierre, K Kessebohm, M Schmid, H J Kundt, and W Hering.
• Klinik für Anästhesiologie, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen. michael.st.pierre@kfa.imed.uni-erlangen.de
• Anaesthesist. 2002 Dec 1;51(12):973-9.

BackgroundOpioids contribute to postoperative nausea and vomiting (PONV). An intraoperative analgesia with S-(+)-ketamine will make opioid administration dispensable and may reduce postoperative analgesic requirements. The aim of the study was to record the incidence and intensity of PONV following a total intravenous anesthesia (TIVA) with S-(+)-ketamine/propofol (K/P) or alfentanil/propofol (A/P) as well as recovery from anaesthesia.Patients And MethodsA total of 145 patients received a TIVA with K/P or A/P. Recovery time,PONV, intensity of pain and overall acceptance of the delivered anaesthesia were recorded.ResultsRecovery times were prolonged in the K/P group. Both groups had a comparable incidence of PONV (26% and 22% for K/P vs A/P, respectively), the intensity was low in both groups with a VAS of <6/100 mm at all times. The intensity of postoperative pain and analgesic requirement did not differ. Overall acceptance of the delivered anaesthesia was lower in the K/P group. Unpleasant dreams were not more common in the K/P group.ConclusionsA TIVA with K/P did not reduce PONV when compared to A/P, but prolonged recovery.

27 keywords...

hide…