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Central Asian Journal of Pediatrics

Central Asian Journal of Pediatrics

Abstract

The purpose of the research was to study PONV syndrome at 44 (3 from 7 years old) children with celiac operations (Hirschsprung's disease, enteroanastomosis, atresia ani and recti, atresia of the biliary tract, dolichosigma, abdominal perineal rectoplastysplenectomy, enterokistoma, acute intestinal obstruction, Meckel diverticulums)/ They were divided into 2 groups on principles prevention and treatment PONV (standard and proposed) for 1 day-operative period. In one group of patients (20) PONV syndrome was observed at 2 (4,54%) infants: nausea and vomiting was one (2,72%) and in group from 2 to 9 (20,45%) patients. They had vomiting at 5 (11,36%) patients. In comparison of two groups patients with each other it can be noted that nausea and vomiting after surgery rare were at 16% children in group 1 (p=0,03), the supports of view increased effect of opioid analgesics (fentanyl) at development of PONV. Thus post-operative nausea and vomiting at abdominal surgery in children, mostly were school children, in 72,7% cases the development was for the first 2 hours. Providing analgesia NSAIDs drugs, incrised-opioid analgesics that reducd the frequency of PONV was 14% in children after abdominal surgery.

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