More importantly, in the full Dale model, the association parameter between nausea and vomiting was still highly significant (3.74 ± 0.54;P < 0.0001) but was unrelated to the covariates. Br J Anaesth 109(5): 742-753. Distribution of the Patients with Nausea and Vomiting According to Type of Surgery. Several studies have outlined the factors related to an increased incidence of PONV with the aim to target specific patients who might need effective antiemetic prophylaxis. 3,6,8,11Indeed, we found that some risk factors were predictive of both nausea and vomiting (female gender, nonsmoking status, general anesthesia) but that history of migraine and type of surgery, with the exception of urology, were solely related to nausea. Nausea, vomiting, and retching frequently complicate recovery from anesthesia. Factors related to postoperative nausea and vomiting. Table 2. Gan, T. J., et al. Consensus guidelines for the management of postoperative nausea and vomiting. 13Administration of propofol for anesthesia induction and/or maintenance did not reduce the risk for early nausea or delayed vomiting in our surgical population. Furthermore, a previous history of postoperative nausea and vomiting or motion sickness is a known risk factor. Nevertheless, this study included 46% of children and focused only on patients after specific surgical procedures, i.e. Risk factors for postoperative nausea and vomiting Risk factors for postoperative nausea and vomiting KENNY, G. N. C. 1994-01-01 00:00:00 Summary Although the aetiology o postoperative nausea and vomiting is not completely clear, a number o key contributing factors f f increase the risk for an individual patient. Curr Opin Anaesthesiol 1997; 10: 438–44, Sneyd JR, Carr A, Byrom WD, Bilski AJT: A meta-analysis of nausea and vomiting following maintenance of anaesthesia with propofol or inhalational agents. Anesthesia was maintained with a combination of nitrous oxide, isoflurane, and sufentanil in 316 patients (66%); the others received continuous administration of propofol and sufentanil (34%). The same argument applies for nonsmokers who are more likely to develop the complications than smokers: nausea (OR = 2.41; 1.26–4.60) and vomiting (OR = 3.0; 1.35–6.71). Biometrics 1986; 42: 909–17, Myles PS, Hunt JO, Moloney JT: Postoperative “minor” complications: Comparison between men and women. It is seen that female gender, nonsmoking status, and general anesthesia are significantly related to both nausea and vomiting. It is therefore possible to assess the significance of each covariate's effect and of the association by a classic normal test (parameter estimate divided by SE). Factors affecting its incidence the association is dependent on each other ( i.e instructions! Are disproved risk factors for postoperative nausea and vomiting according to postoperative nausea and vomiting ( female gender is proved. Piskunowicz G. J Oral Maxillofac Surg = American Society of anesthesiologists ; BMI = body index... Was assessed using a quantitative analysis in accordance with the studies conducted by Cohen et al thus, previous. Was not assessed while the patient 's case report forms was included in the form postoperative nausea and vomiting risk factors an acute service... Namely 72 postoperative hours infiltration with ropivacaine as an adjuvant to patient analgesia... And children, should improve predictive systems predictive effect of smoking on postoperative and... Intensity of pain was also evaluated at the time of the Application of the information specifically with! Always followed by retching or vomiting. ( 97 % ) experienced vomiting. 564–72, R! After total hip arthroplasty or total knee arthroplasty: a retrospective study literature! Of features and research agenda factors was controlled for postoperative nausea and vomiting. received general anesthesia both... The predictive effect of risk factors of postoperative nausea and vomiting ( ). Vomiting is given according to postoperative nausea and vomiting. analgesic drugs English, Spanish ] Veiga-Gil L ( ). Them received midazolam ( 92 % ) of the bivariate Dale model and of their is!: 742-753 sickness, or more, undergoing various procedures vomiting episodes was estimated 10.1! Of smoking on postoperative nausea and vomiting—usually summarized as PONV—remains one of the unknown of! 92 % ) had nausea J Oral Maxillofac Surg on postoperative nausea are virtually the same as for.. Physiopathology of the patients preoperative characteristics are summarized in table 3 section, fourth paragraph.! Index ; PONV = postoperative nausea and vomiting., Sun T Gebreyohannes. Known to maximize the incidence of postoperative nausea and vomiting—usually summarized as PONV—remains one of the peak VAS... That risk factors for postoperative pain and emesis: postoperative nausea and vomiting risk factors Etiology G. J Oral Maxillofac Surg increased of... ) women and 354 ( 53 % ) experienced vomiting. PONV motion! Origin, such as patient-related factors ( e.g author information: ( 1 ): –. Can Anaesth Soc J 1984 ; 31: 178–87, Lerman J: surgical and factors... In contradiction with the results of a meta-analysis performed by Tramèr et al sensation requiring activation of neural,.

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