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</html>";s:4:"text";s:16013:"Duration of anesthesia (general and locoregional) was 100 ± 66 min. The VAS score measured nausea intensity at the time of assessment. Risk Factors for Postoperative Nausea, Vomiting and Pruritus The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Gan, T. J., et al. * Number of patients shown with percent in parentheses. Postoperative nausea and vomiting results from patient factors, surgical & anesthetic factors. Comparison of the Effects of Sugammadex, Neostigmine, and Pyridostigmine on Postoperative Nausea and Vomiting: A Propensity Matched Study of Five Hospitals. Traditionally, investigation focused on a single potential factor at a time, with little to no attempt to control for other variables, i.e., to account for the possible independent effects of additional factors (21,22). Br J Anaesth 2002; 88: 234–40, Bardiau FM, Braeckman MM, Seidel L, Albert A, Boogaerts JG: Effectiveness of an acute pain service inception in a general hospital. Furthermore, a previous history of postoperative nausea and vomiting or motion sickness is a known risk factor. Habib AS, Chen YT, Taguchi A, Hu XH, Gan TJ. Please enable it to take advantage of the complete set of features! Conversely, among the 66 patients with vomiting, 53 (80%) had nausea. A sample of 671 surgical patients with complete case report forms was included in the study. … Although risk factors for postoperative nausea are generally assumed as being the same as those for vomiting, the present study made a clear distinction between the two events, considered as two different end points. BMC Anesthesiol. It is commonly assumed that risk factors for postoperative nausea are virtually the same as those for vomiting. Although some authors have suggested that incidence of PONV is increased in obese patients, we were not able to identify a high BMI as a risk factor in the bivariate Dale model. Search for other works by this author on: Watcha MF, White PF: Postoperative nausea and vomiting: Its etiology, treatment, and prevention. Results are displayed in table 5, which gives for each covariate and each outcome the estimated regression coefficient with its SE and corresponding P  value. 2020 Dec 3;20(1):297. doi: 10.1186/s12871-020-01214-4. Nausea, vomiting, and retching frequently complicate recovery from anesthesia. The mean dose of sufentanil used was 23.3 ± 53.9 μg. Keywords Postoperative nausea and vomiting PONV Prospective study Risk factors Japan Introduction Postoperative nausea and/or vomiting (PONV) is a signif-icant postoperative complication that has been repeatedly investigated in surveys of incidence [1–4]. Our data showed that the dose of administered morphine significantly increased the incidence of nausea and vomiting. Can Anaesth Soc J 1984; 31: 178–87, Lerman J: Surgical and patient factors involved in postoperative nausea and vomiting. By continuing to use our website, you are agreeing to, A Report by the American Society of Anesthesiologists Task Force on Moderate Procedural Sedation and Analgesia, the American Association of Oral and Maxillofacial Surgeons, American College of Radiology, American Dental Association, American Society of Dentist Anesthesiologists, and Society of Interventional Radiology, An Updated Report by the American Society of Anesthesiologists Task Force on Central Venous Access, https://doi.org/10.1097/00000542-200301000-00011, Calculating Ideal Body Weight: Keep It Simple, Practice Guidelines for Moderate Procedural Sedation and Analgesia 2018, Practice Guidelines for Central Venous Access 2020, The Cannabinoid Agonist WIN55,212-2 Suppresses Opioid-induced Emesis in Ferrets, Amisulpride Prevents Postoperative Nausea and Vomiting in Patients at High Risk:  A Randomized, Double-blind, Placebo-controlled Trial, Usefulness of Olanzapine as an Adjunct to Opioid Treatment and for the Treatment of Neuropathic Pain, Determination of Plasma Concentrations of Propofol Associated with 50% Reduction in Postoperative Nausea, Intravenous Amisulpride for the Prevention of Postoperative Nausea and Vomiting:  Two Concurrent, Randomized, Double-blind, Placebo-controlled Trials, © Copyright 2020 American Society of Anesthesiologists. Patients who had nausea or vomiting received a similar amount of sufentanil throughout the perioperative period as patients without these symptoms (P = 0.74). In assessing a patient’s risk for postoperative nausea and vomiting (PONV), it is important to know which risk factors are independent predictors, and which factors are not relevant for predicting PONV.  This is in accordance with the results of a meta-analysis performed by Tramèr et al. Background: To improve the efforts that try to detect the common risk factors of postoperative nausea and vomiting (PONV), this epidemiologic survey was designed to evaluate the present incidence of … This is in accordance with the survey performed by Koivuranta et al. The predictive effect of risk factors … Br J Anaesth 1992; 69(suppl 1): 2S–19S, Camu F, Lauwers MH, Verbessem D: Incidence and aetiology of postoperative nausea and vomiting. Mean time of vomiting episodes was estimated at 10.1 ± 11.4 postoperative hours. Acta Anaesthesiol Scand 2001; 45: 14–9, Boogaerts JG, Vanacker E, Seidel L, Albert A, Bardiau FM: Assessment of postoperative nausea using a visual analogue scale. The proportion of nonsmokers was amounted to 63%. This study shows that differences exist in risk factors of postoperative nausea and vomiting. Several risk factors are incriminated in their occurrence. Meng, … J Clin Anesth 1999; 11: 583–9, Boogaerts JG, Bardiau FM, Seidel L, Albert A, Ickx BE: Tropisetron in the prevention of postoperative nausea and vomiting. The modern era in PONV risk factor research began in the early 1990s, with publication of the first studies that attempted t… Statistical calculations were carried out by means of the SAS package (SAS Institute, Cary, NC; version 8 for Windows), always using all data available. Eur J Anaesth 1998; 15: 433–45, Apfel CC, Kranke P, Papenfufl T, Rauch S, Greim CA, Roewer N: Volatile anaesthetics may be the main cause for early but not delayed postoperative nausea and vomiting: a randomised control trial of factorial design. Postoperative nausea and vomiting (PONV) is a patient-important outcome; patients … Biometrics 1986; 42: 909–17, Myles PS, Hunt JO, Moloney JT: Postoperative “minor” complications: Comparison between men and women. 2008 Aug;107(2):459-63. doi: 10.1213/ane.0b013e31817aa6e4. Conversely, negative coefficients correspond to a protective effect against the complication (OR < 1). In assessing a patient’s risk for postoperative nausea and vomiting (PONV), it is important to know which risk factors are independent predictors, and which factors are … Br J Anaesth 1990; 64: 728–30, This site uses cookies. In the subsequent study, nausea and vomiting were considered as the two outcomes of interest. Current risk scoring systems have approximately 55%-80% accuracy in predicting which patient groups will suffer PONV. A nesthesiology 1960; 21: 186–93, Cohen MM, Duncan PG, DeBoer DP, Tweed WA: The postoperative interview: assessing risk factors for nausea and vomiting. Postoperative nausea and/or vomiting (PONV) is an unpleasant experience that afflicts 20–30% of surgical patients after general anaesthesia.1 PONV decreases patient comfort and satisfaction, and, rarely, may cause dehydration and electrolyte imbalances, aspiration of gastric contents, oesophageal rupture, suture dehiscence, and bleeding.2–9 PONV and its resulting complications are costly for the healthcare sector worldwide, with several hundred million dollars spent annually in the USA alone.10 P… Both vomiting and retching were considered as emetic events. Premedication was administered to 653 (97%) of the patients. The relationship between patient risk factors and early versus late postoperative emetic symptoms.  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