The proportion of nonsmokers was amounted to 63%. 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. Habib AS, Chen YT, Taguchi A, Hu XH, Gan TJ. 8. The intensity of pain was also evaluated at the same time as nausea using a VAS. Nausea and vomiting were recorded as two different end points, using a quantitative analysis. Patients undergoing general anesthesia have an increased risk of nausea (OR = 2.51; 1.10–5.72) and of vomiting (OR = 3.67; 1.25–10.8) when compared to patients undergoing locoregional anesthesia. These could be explained by differences in the physiopathology of the two symptoms. COVID-19 is an emerging, rapidly evolving situation. 17, The difference in risk factors for postoperative nausea and vomiting could be explained by the difference in the physiology of the two events. Br J Anaesth 1997; 78: 247–55, Tramèr M, Moore A, McQuay H: Meta-analytic comparison of prophylactic antiemetic efficacy for postoperative nausea and vomiting: propofol anaesthesia vs omitting nitrous oxide vs a total i.v. , 11,12,24and more recently Kranke 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 … Recently, Apfel et al. The modern era in PONV risk factor research began in the early 1990s, with publication of the first studies that attempted t… Postoperative nausea and vomiting (PONV), postoperative vomiting (POV), post-discharge nausea and vomiting (PDNV), and opioid-induced nausea and vomiting (OINV) continue to be causes of pediatric morbidity, delay in discharge, and unplanned hospital admission.  |  3,6,8,11 Indeed, we found that some risk factors were predictive of both nausea and vomiting (female gender, nonsmoking status, general anesthesia) … Anesth Analg 118 (1): 85 – 113. This is in accordance with the survey performed by Koivuranta et al. Get the latest public health information from CDC:, Get the latest research information from NIH:, Find NCBI SARS-CoV-2 literature, sequence, and clinical content: Mean time of vomiting episodes was estimated at 10.1 ± 11.4 postoperative hours. eCollection 2020. Background: Postoperative nausea and vomiting (PONV) is a common complication after total hip/knee arthroplasty (THA/TKA) that affects patient satisfaction and postoperative recovery. 15No special instructions were given to the attending anesthesiologist regarding anesthesia and postoperative analgesia regimens. , they most often did and did not occur together). 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. NSAID = nonsteroidal antiinflammatory drug. Search for other works by this author on: Watcha MF, White PF: Postoperative nausea and vomiting: Its etiology, treatment, and prevention. Hysterectomies trigger part of the nervous system that can predispose to nausea and vomiting after surgery. Undesirable Postoperative Anesthesia Outcomes at Two National Referral Hospitals: A Cross-Sectional Study in Eritrea. 16,24and other authors 8,22,31who found that the type of surgery did not seem to play a major role in the incidence of PONV. Acta Anaesthesiol Scand 2001; 45: 4–13, Kamath B, Curran J, Hawkey C, Beattie A, Gorbutt N, Guiblin H, Kong A: Anaesthesia, movement and emesis. Postoperatively, pain VAS characteristics were the following: AUC (59 ± 69 cm × h), mean VAS (1.0 ± 1.1 cm), VASmax (3.9 ± 2.5 cm), the time of maximal VAS, Tmax (8.2 ± 13 h), and PVAS > 3 (6.1 ± 11.2 h). Nausea was not assessed while the patient was asleep. Patients with vascular surgery were excluded from the analysis because of a singularity in the maximum likelihood estimation process; this was explained by the fact that only one vascular patient experienced vomiting alone as seen in table 4. Anaesthesia 1997; 52: 300–6, Chimbira W, Sweeney BP: The effect of smoking on postoperative nausea and vomiting. Duration of surgery was unrelated to outcomes. The physiology of PONV is complex and not perfectly understood. Specifically, women are at greater risk of nausea (OR = 2.69; 1.38–5.24) and of vomiting (OR = 3.78; 1.51–9.50) than men. Clipboard, Search History, and several other advanced features are temporarily unavailable. It should be noted that postoperative morphine doses were slightly more significantly associated with vomiting (OR = 1.02;P = 0.029) than with nausea (OR = 1.01;P = 0.05), while pain parameters were not significant. 2020 Sep 15;2020:9792170. doi: 10.1155/2020/9792170. The study included 671 consecutive surgical inpatients, aged 15 yr or more, undergoing various procedures. During the 72 postoperative hours (table 2), paracetamol was given to all patients with a mean dose of 9.7 ± 6.2 g. Nonsteroidal antiinflammatory drugs were used in 429 patients (64%), and morphine was administered in 324 patients (48%) at a mean dose of 11.4 ± 23.1 mg. Patient-controlled analgesia was prescribed in 20 patients (1.5%) during the study period. In the Dale model, one has to estimate (1) the regression coefficients of the covariates for nausea, (2) the regression coefficients of the covariates for vomiting, and (3) the association parameter between nausea and vomiting. 2006 Jun;22(6):1093-9. doi: 10.1185/030079906X104830. 3–6,9–12,20In our survey, nonsmoking status increased both the incidence of nausea and vomiting, as already demonstrated by others. The outstanding importance of morphine use, not considered as a predictive factor, is in line with results of previous studies. , mask ventilation, volatile anesthetics, opioids), and surgical factors. In studies with these drawbacks, the true influence of the investigated risk factor remained unclear. It is commonly stated that the type of surgery influences the risk of PONV. The survey was performed in a clinical audit setting. It has … History of migraine and a variety of surgeries (gynecological, abdominal, neurologic, ophthalmology, and maxillofacial) do or tend to influence nausea only. , the time period during which pain VAS was above the critical threshold (h). Edited by Strunin L, Rowbotham D, Miles A. London, Aesculapius Medical Press, 1999, pp 13–30, Tramèr MR: A rational approach to the control of postoperative nausea and vomiting: Evidence from systematic reviews: Part I. Efficacy and harm of antiemetic interventions, and methodological issues. Postoperative nausea and vomiting (PONV) is a patient-important outcome; patients … Anaesthesia 2000; 55: 540–4, Junger A, Hartmann B, Benson M, Schindler E, Dietrich G, Jost A, Béye-Basse A, Hempelmann G: The use of an anesthesia information management system for prediction of antiemetic rescue treatment at the postanesthesia care unit. The recovery phase, can precipitate postoperative nausea and vomiting risk factors coefficients are associated with an increased risk PONV... The unknown parameters of the patients with propofol has no relevant effect on PONV a. Sheets were reviewed in detail by the study included 46 % of children and focused only patients. 9 ):1385-97. doi: 10.1186/s12871-020-01214-4 risk factor emetic events patients shown with percent in.! 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