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Administration of 80% intraoperative oxygen has been proposed as being a cheap, safe and effective means reducing postoperative nausea and vomiting (PONV) but no studies have been performed in the high risk paediatr population. We tested whether 80% intraoperative oxygen reduces PONV in well children undergoing electi day-stay dental treatment under general anaesthesia. Ninety-five children received standardized sevoflurane, morphin vecuronium anaesthesia with either 30% or 80% intraoperative oxygen and no antiemetic prophylaxis in a randomize double blind, prospective trial. There was no difference in PONV or in the use of rescue ondansetron between the groups. The total incidence of PONV was 40% in the group that received 30% oxygen and 33% in those that receive 80% oxygen. High inspired intraoperative oxygen was not found to significantly reduce PONV in well children undergoing dental work under general anaesthesia.

The Effect of Supplemental Oxygen on Postoperative Nausea and Vomiting in Children Undergoing Dental Work