Influence of droperidol on nausea and vomiting during patient-controlled analgesia

Br J Anaesth. 1994 Apr;72(4):460-1. doi: 10.1093/bja/72.4.460.

Abstract

We have studied the addition of droperidol to morphine during patient-controlled analgesia (PCA) in 57 patients using PCA after abdominal hysterectomy. Patients in group 1 (control group) received placebo at induction of anaesthesia and a PCA containing morphine; those in group 2 received droperidol 1.25 mg and a PCA containing morphine and those in group 3 droperidol and a PCA containing droperidol 0.05 mg mg-1 of morphine. Patients in the control group suffered 51 episodes of nausea compared with 35 in the droperidol bolus group and 18 in the droperidol PCA group (P < 0.01). In the droperidol PCA group, only 10 doses of additional antiemetic therapy were required compared with 24 in the droperidol bolus group and 28 in the control group (P < 0.05). We did not observe side effects attributable to droperidol. We conclude that droperidol added to morphine in PCA reduces nausea and antiemetic requirements after abdominal hysterectomy.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Aged
  • Analgesia, Patient-Controlled*
  • Droperidol / therapeutic use*
  • Female
  • Humans
  • Middle Aged
  • Morphine / therapeutic use
  • Nausea / prevention & control*
  • Postoperative Complications / prevention & control
  • Prochlorperazine / administration & dosage
  • Vomiting / prevention & control*

Substances

  • Morphine
  • Droperidol
  • Prochlorperazine