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Scholars Journal of Applied Medical Sciences | Volume-2 | Issue-04
A Comparative Study of Intravenous Ondansetron and Granisetron for Prevention of Nausea and Vomiting Following Laparoscopic Cholecystectomy
Souvik Saha, Sujit Chatterjee
Published: Aug. 31, 2014 |
200
173
DOI: 10.36347/sjams.2014.v02i04.073
Pages: 1502-1505
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Abstract
Laparoscopic cholecystectomy is associated with significantly high rate of post operative nausea and
vomiting (PONV). This study was designed to compare the effectiveness of Ondansetron with that of Granisetron for
prevention of PONV after laparoscopic cholecystectomy. In a randomized, prospective study, 100 patients were selected
and randomly divided into two groups of 50 each. Group one received Ondansetron 4mg intravenously and group two
received 2mg Granisetron intravenously before induction. Perioperative anaesthetic care was standardized in all patients.
They were then observed for 24 hours after administration of the study drug. A complete response (defined as no PONV
and no need for another rescue antiemetic) was achieved in 66% of the patients given Ondansetron and 82% of the
patients given Granisetron. Increased incidence of side effects seen in Ondansetron group than Granisetron group. This
study concludes that Granisetron is slightly more effective than Ondansetron as prophylactic antiemetic in laparoscopic
cholecystectomy.