1. Innayat Ullah 2. Tariq Pervaiz Khan 3. Muhammad Shakveer 4. Fatima Beevi 

5. Abdel Fatah 6. Sara Innayat

1. Consultant Anesthetist, Avicena Medical College Hospital, Lahore 2. Asstt. Prof. of Ophthalmology, Avicena

Medical College Hospital, Lahore 3. Chief of O.R KAH Bisha Saudi Arabia 4. Chief Anesthetist KAH Bisha Saudi

Arabia 5. Consultant Anesthetist KAH Bisha Saudi Arabia 6. Punjab Dental Hospital, Lahore

ABSTRACT

Objective: To evaluate postoperative nausea & vomiting (PONV) with and without metoclopramide with opioid use for control of pain.

Study Design: Interventional comparative study

Place and Duration of Study: This study was carried out at KAH, Bisha, Saudi Arabia for period of 3 months 18th July 2014 to 17th October 2014.

Patients and Methods: Fifty patients were included and divided into Group A & B. Group A was given inj. Fentanyl 1.5mg/kg intra-operatively and Inj. Pethidine 1.5mg/kg post-operatively to control pain. Group B was given inj. Metoclopramide 0.15 mg/kg intra-operatively and same dose postoperatively in addition to Inj. Fentanyl and Pethidine.

Results: In Group A, 10 (40%) female patients and 02 (8%) male patients developed PONV while in Group B only one (4%) female patient developed PONV.

Conclusion: PONV is reduced when anti-emetics are used along with opioids for pain control. Inj. Metoclopramide, an anti-dopaminergic prokinetic, was found to give better results as its antiemetic action is considered.  Key Words: Post-operative nausea, Vomiting, Metoclopramide

Citation of article: Ullah I, Khan TP, Shakveer M, Beevi F, Fatah A, Innayat S. Postoperative Nausea and Vomiting (PONV): An Experience With and Without Metoclopramide With Opioid Use for Control of Pain.