Drowsiness following ondansetron given the day after general anesthesia for postoperative nausea: a pediatric case report

JA Clinical Reports

Case Report

Machiko Furuta¹  Kiyoyuki Miyasaka¹  Yasuyuki Suzuki¹ 

[1] Department of Critical Care and Anesthesia, National Center for Child Health and Development, 2-10-1 Okura, Setagaya-ku, 157-8535, Tokyo, Japan;

关键词: Pediatric anesthesia;    Ondansetron;    Drowsiness;    Adverse side effect;    PONV;   

DOI  :  10.1186/s40981-023-00599-8

 received in 2022-12-13, accepted in 2023-01-31,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundOndansetron is an antiemetic drug that is useful not only for prevention but also for the treatment of postoperative nausea and vomiting (PONV). We report a rare case of drowsiness in a child after using ondansetron for nausea on the day after general anesthesia.Case presentationA 5-year-old boy underwent circumcision under general anesthesia and suffered from postoperative nausea and vomiting. He was administered 0.1mg/kg of ondansetron in the PACU and 23 h later on the day after surgery. After the second dose, he acutely exhibited drowsiness which resolved in 3 h. He was discharged to home later on the same day. He was not given any other drugs at the time, and the drowsiness was thought to be directly attributable to ondansetron, though the exact mechanism was unknown.ConclusionsWhen drowsiness or other cognitive symptoms are observed after administration of ondansetron, it must be considered and managed as a possible side effect.

【 授权许可】

CC BY   
© The Author(s) 2023