Anesth Analg 2002;95:1442-1445
© 2002 International Anesthesia Research Society
GENERAL ARTICLES
Prevention of Nausea and Vomiting with Tandospirone in Adults After Tympanoplasty
Tsutomu Oshima, MD PhD,
Yoshiko Kasuya, MD PhD,
Yasuhisa Okumura, MD,
Etsuji Terazawa, MD, and
Shuji Dohi, MD PhD
Department of Anesthesiology and Critical Care Medicine, Gifu University School of Medicine, Gifu-City, Gifu, Japan
Address correspondence and reprint requests to Tsutomu Oshima, MD, Department of Anesthesiology and Critical Care Medicine, Gifu University School of Medicine, 40 Tsukasamachi, Gifu City, Gifu 500-8705, Japan. Address e-mail to oshimat{at}cc.gifu-u.ac.jp
We have hypothesized that the 5-hydroxytrypta-mine-1A receptor agonist tandospirone reduces postoperative nausea and vomiting (PONV). In a double-blinded, randomized design, 3 groups of 30 patients each received 1 of the following oral medications 90 min before arrival in the operating room, together with famotidine 20 mg: 1) placebo (P group), 2) tandospirone 10 mg (T10 group), or 3) tandospirone 30 mg (T30 group). Standard anesthetic regimens and techniques were applied for all patients. All episodes of PONV were recorded during the following time intervals: 0–3 h and 3–24 h after the end of general anesthesia. The incidence of a complete response, defined as no PONV and no need for other rescue antiemetics, was significantly more frequent in the T30 group than in the P group during 0–24 h (P = 0.019), especially during 3–24 h (P = 0.007) after general anesthesia. In conclusion, premedication with oral tandospirone is effective against PONV in patients undergoing tympanoplasty under general anesthesia.
IMPLICATIONS: Oral tandospirone reduced the incidence of postoperative nausea and vomiting without significant adverse effects in adults undergoing tympanoplasty under general anesthesia.
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