JAPANESE JOURNAL OF GYNECOLOGIC AND OBSTETRIC ENDOSCOPY
Online ISSN : 1884-5746
Print ISSN : 1884-9938
Original article
Risk factors for PONV after gynecologic surgery in patients receiving fentanyl-based intravenous patient-controlled analgesia
Shohei TanabeKojiro TanabeAzuma MurakawaMariya MurakawaMotomi SaitoTatsuya HagiwaraTakanori ShimizuRui MatsuuraHitoshi Nikura
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Keywords: PONV, IV-PCA
JOURNAL FREE ACCESS

2020 Volume 36 Issue 2 Pages 114-118

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Abstract

Objective: To investigate the risk factors for postoperative nausea and vomiting (PONV) in patients receiving fentanyl-based intravenous patient-controlled analgesia (IV-PCA) after gynecologic laparoscopy.

Methods: We retrospectively analyzed the data of 88 patients who underwent laparoscopic surgery and received postoperative fentanyl-based IV-PCA. Patient background characteristics and clinical variables were analyzed using univariate and multivariate analyses.

Results: In the univariate analysis, patient weight (<50 kg and> 50 kg) was found to be the dominant factor, and in the multivariate analysis, the amount of fentanyl used during surgery (<0.3 mg and> 0.3 mg) was the dominant factor.

Conclusions: This study showed that patient's body weight (>50 kg) and the amount of fentanyl used during surgery (0.3 mg or more) may be risk factors for the development of PONV in patients receiving fentanyl-based IV-PCA after gynecological laparoscopy.

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© 2020 Japan Society of Gynecologic and Obstetric Endoscopy and Minimally Invasive Therapy
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