Abstract

SALGADO BORGES, Mabel; SUAREZ GONZALEZ, Luís M; ACOSTA MENOYA, Alina  and  DIAZ ARTEAGA, Yosvany. The use of Diprivan to reduce the incidence of vomits in children undergoing tonsillodectomy. Rev Ciencias Médicas [online]. 2005, vol.9, n.3, pp.3-10. ISSN 1561-3194.

The Propofol for its pharmacological characteristics is one of the achievements in the field of the anesthesiology. Their properties antiemetics given by activity antidopaminergics and effect depressor on the quimiorreceptora area of shot emetic bulbar are useful in the ambulatory surgery. We carry out a prospective and longitudinal study in 60 patient amigdalectomized, in the Pediatric Hospital "Pepe Portilla" among March of the 2002 to January of the 2004, with the objective of comparing the postoperative incidence of vomits when using Diprivan or Halotane like anesthetic bases on the amigdalectomy. 60 children of the urban perimeter were signed up in the study and chosen at random to receive one of the anesthetic proposals. An intravenous access was established and all the children received Fentanyl (2 µcgr. Kg. ev) and Lidocaína 2% (1mg.kg.ev). To 30 children´s was administered Diprivan 2mg.kg as agent inductor and to the rest induction with mask with Halotane (3-4%), O2 100%. The endotraqueal intubation was facilitated with Atracurio (0.25mg.kg.ev). Subsequently to the same one Diprivan received (120-180µcgr. Kg. min. ev) or Halotane (0.8-1.6%) indistinctly with O2 100% for the maintenance of the anesthesia. The episodes of vomits were picked up in the 6 following hours before the records and a phone interview was carried out to the following day. Of a total of 29 patients that presented vomits 89.7% it corresponded to the group of the Halotane and alone 10.3% to that of the Diprivan. p<0.01. These data suggest that using Diprivan like anesthetic can diminish the incidence of vomits continuing to an amigdalectomy.

Keywords : DIPRIVAN; NAUSEAS; VOMIT; POST OPERATIVE.

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