Nausea and vomiting postoperative in general anesthesia for elective surgical intervention
Keywords:
postoperative nausea and vomiting, anesthesia general, elective surgery, risk factorsAbstract
Introduction: nausea and vomiting postoperative cause discomfort and dissatisfaction, they increase the need of care and imply an additional risk for the patient. Objective: to determine the incidence of nausea and vomiting postoperative in patients in which the elective general anesthesia is applied at "Arnaldo Milián Castro" Hospital. Method: a descriptive, cross-sectional observational study was carried out from January 2013 to December 2014. The following variables were evaluated: gender, age, body mass index, smoking habit, history of postoperative nausea and vomiting, classification of the American Society of Anesthesiologist, anesthetic technique and anesthetic agents employed, type of operative surgical intervention, hospital stay, surgical site approach, nasogastric tube use, surgical time and appearance of vomiting preceded by nausea in the first 24 hours postoperatively. Results: the incidence was 15,4%, with predominance in women, nonsmokers, those with a history of postoperative motion sickness and nausea and vomiting, and when thiopental, inhalation agents and postoperative opioids were used. According to the type of surgical intervention was more frequent in the gynecological, conventional, non ambulatory and with surgical time greater than one hour. Conclusions: the incidence of nausea and vomiting postoperative was low. The increase in the number of risk factors was associated with an increase in risk.Downloads
References
1. Acosta-Villegas F, García-López JA, Aguayo-Albasini JL. Manejo de las náuseas y vómitos postoperatorios. Cir Esp [Internet]. 2010 [citado 17 Dic 2014];88(6):369-73. Disponible en: http://www.elsevier.es/es-revista-cirugia-espanola-36-articulo-manejo-las-nauseas-vomitos-postoperatorios-S0009739X10003027
2. Aragón Vargas C. Frecuencia de náuseas y vómitos postoperatorios con la administración de ondansetrón y dexametasona de manera preventiva vs postquirúrgica [Tesis]. Toluca: Universidad Autónoma del Estado de México; 2014.
3. Allendes Ríos A. Náuseas y vómitos postoperatorios en anestesia general balanceada o anestesia general endovenosa en cirugía abdomino-pélvica [Tesis]. Maracaibo: Universidad del Zulia; 2013.
4. Vila P, Sabaté S, Orrego C, Pérez A. Náuseas y vómitos postoperatorios en Cataluña: Estudio PONVICAT 2007. En: Castaño J Seguridad del paciente quirúrgico. Barcelona: Editorial Médica Ergon; 2010. p. 123-9.
5. Gan TJ, Pierre D, Ashraf SH, Anthony K, Peter K, Tricia AM, et al. Consensus Guidelines for the management of postoperative nausea and vomiting. Anesth Analg [Internet]. 2014 [citado 12 Oct 2015];118(1):85-113. Disponible en: http://journals.lww.com/anesthesia-analgesia/Fulltext/2014/01000/Consensus_Guidelines_for_the_Management_of.13.aspx
6. Tommasino C. Management of postoperative nausea and vomiting after neurosurgery. In: Brambrink AM, Kirsch JR. Essentials of Neurosurgical Anesthesia & Critical Care [Internet]. New York: Springer; 2012 [citado 20 Nov 2014]. Disponible en: http://www.springer.com/br/book/9780387095615
7. Ganter MT, Blumenthal S, Dübendorfer S, Brunnschweiler S, Hofer T, Klaghofer R, et al. The length of stay in the post-anaesthesia care unit correlates with pain intensity, nausea and vomiting on arrival. Perioper Med [Internet]. 2014. [citado 12 Oct 2014];3(1):10. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4256808/
8. Kovac AL. Postoperative and Postdischarge Nausea and Vomiting After Ambulatory Surgery: An Update. Curr Anesthesiol Rep [Internet]. 2014 [citado 12 Oct 2014];4(4):316-325. Disponible en: https://link.springer.com/article/10.1007/s40140-014-0076-3
9. Jung WS, Kim YB, Park HY, Choi WJ, Yang HS. Oral administration of aprepitant to prevent postoperative nausea in highly susceptible patients after gynecological laparoscopy. J Anesth [Internet]. 2012 [citado 12 Oct 2014];27(3):396-401. Disponible en: https://www.ncbi.nlm.nih.gov/labs/articles/23224788/
10. Sato K, Sai S, Adachi T. Is microvascular decompression surgery a high risk for postoperative nausea and vomiting in patients undergoing craniotomy? J Anesth [Internet]. 2013 [citado 20 Nov 2014];27(5):725-730. Disponible en: https://www.ncbi.nlm.nih.gov/labs/articles/23224788/
11. Morino R, Ozaki M, Nagata O, Yokota M. Incidence of and risk factors for postoperative nausea and vomiting at a Japanese Cancer Center: first large-scale study in Japan. J Anesth [Internet]. 2013 [citado 20 Nov 2014];27(1):18-24. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/22923285
12. Castillo E, Hernández V, Quintana C. Prevención y tratamiento de náuseas y vómitos postoperatorios. Cuad Cir [Internet]. 2011 [citado 20 Nov 2014];25(1):75-80. Disponible en: http://mingaonline.uach.cl/pdf/cuadcir/v25n1/art11.pdf
13. Janicki PK, Sugino S. Genetic factors associated with pharmacotherapy and background sensitivity to postoperative and chemotherapy-induced nausea and vomiting. Exp Brain Res [Internet]. 2014 [citado 12 Oct 2014];232(8):[aprox. 13 p.]. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/24792505
14. Bakshi SG, Jibhkate B, Sareen R. Badwe R. Nausea and vomiting after breast cancer surgery, and relationship with tumor receptor status. J Anesth [Internet]. 2012 [citado 17 Dic 2014];26(2):[aprox. 9 p.]. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/22081112
15. Sweis I, Yegiyants SS, Cohen M.The Management of postoperative nausea and vomiting: Current thoughts and protocols. Aesth Plast Surg[Internet]. 2013 [citado 20 Nov 2014];37(3):[aprox. 9 p.]. Disponible en: https://link.springer.com/article/10.1007/s00266-013-0067-7
16. Chen CH, Siddiqui F, Chen T, Chan E, Tam KW. Dexamethasone for prevention of postoperative nausea and vomiting in patients undergoing thyroidectomy: Meta-analysis of randomized controlled trials. World J Surg[Internet]. 2012 [citado 20 Nov 2014];36(1):[aprox. 8 p.]. Disponible en: https://www.researchgate.net/publication/51798318_Dexamethasone_for_Prevention_of_Postoperative_Nausea_and_Vomiting_in_Patients_Undergoing_Thyroidectomy_Meta-analysis_of_Randomized_Controlled_Trials
17. Leibowitz AB, Tulman G. Postanesthesia care unit discharge criteria. In: Reed AP, Yudkowitz FS. Clinical cases in anesthesia. Philadelphia: Elsevier Health Sciences; 2013. p. 44-4.
18. Bergese S, Viloria A, Uribe A, Antor A, Fernández S. Aprepitant versus ondansetron in preoperative triple-therapy treatment of nausea in neurosurgery patients: study protocol for a randomized controlled trial and vomiting. Trials [Internet]. 2012 [citado 17 Dic. 2014];13(1):[aprox. 6 p.]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3475143/
19. Calvache JA, Guzmán EL, Buitrago LM, Torres CG, Torres MB, Duarte G, et al. Manual de práctica clínica basado en la evidencia: manejo de complicaciones posquirúrgicas. Rev Colomb Anest [Internet]. 2015 [citado 15 Ene 2015];43(1):[aprox. 10 p.]. Disponible en: http://www.revcolanest.com.co/.../manual-practica-clinica-basado-evidencia/.../S012033471
20. Evers A, Crowder C. Cellular and molecular mechanisms of anesthesia. In: Barash PG, Cullen BF, Stoelting RK, editors. Clinical Anesthesia. 5th ed. New York: Lippincott Williams & Wilkins; 2006. p. 111-332.
21. Apfel CC, Kranke P, Katz MH, Goepfert C, Papenfuss T, Rauch S, et al. Volatile anaesthetics may be the cause of early but not delayed postoperative vomiting: a randomized controlled trial of factorial design. British J Anaest [Internet]. 2002 [citado 20 Nov 2014];88(5):[aprox. 10 p.]. Disponible en: http://bja.oxfordjournals.org/content/88/5/659.full.pdf+html
22. Chandrakantan A, Glass PSA. Multimodal therapies for postoperative nausea and vomiting,and pain. British J Anaes [Internet]. 2011[citado 20 Nov 2014];107(Suppl.1):[aprox. 14 p.]. Disponible en: http://bja.oxfordjournals.org/content/107/suppl_1/i27.abstract
23. Sanchís Martín RM, González López L. Náuseas y vómitos postoperatorios en anestesia pediátrica. En: SARTD-CHGUV Sesión de Formación Continuada. Valencia: Consorcio Hospital General Universitario de Valencia; 2014 [citado 20 Nov 2014]. Disponible en: http://chguv.san.gva.es/documents/10184/49202/sanchis+martin-n%C3%A1useas+y+v%C3%B3mitos+postoperatorios+en+anestesia+pedi%C3%A1trica-sesion+sartd-chguv-30-9-14.pdf/2540b42c-5578-4a90-a6cb-f0c21fd72447
24. Jo YY, Lee JW, Shim JK, Lee WK, Choi YS. Ramosetron, dexamethasone, and their combination for the prevention of postoperative nausea and vomiting in women undergoing laparoscopic cholecystectomy. Surg Endosc [Internet]. 2012 [citado 12 Oct 2014];26(8):[aprox.6 p.]. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/22358123
25. Moon HY, Baek CHW, Choi GJ, Shinwa Y, Kang H, Jung YH, et al. Palonosetron and aprepitant for the prevention of postoperative nausea and vomiting in patients indicated for laparoscopic gynecologic surgery: a double-blind randomised trial. BMC Anesthesiology [Internet]. 2014 [citado 20 Nov 2014];14(1):[aprox. 7 p.]. Disponible en: https://www.researchgate.net/publication/265133768_Palonosetron_and_aprepitant_for_the_prevention_of_postoperative_nausea_and_vomiting_in_patients_indicated_for_laparoscopic_gynaecologic_surgery_A_double-blind_randomised_trial
26. Lee S, Lee MS, Choi DH, Lee SK. Electroacupuncture on PC6 prevents opioid-induced nausea and vomiting after laparoscopic surgery. Chin J Integr Med [Internet]. 2013 [citado 20 Nov 2014];19(4):[aprox. 5 p.]. Disponible en: https://link.springer.com/article/10.1007%2Fs11655-013-1425-7
27. Brattwall M, Warren-Stomberg M, Jakobsson J. Outcomes, measures and recovery after ambulatory surgery and anaesthesia: A review. Curr Anesthesiol Rep [Internet]. 2014 [citado 17 Dic 2014];4(4):[aprox. 8 p.]. Disponible en: https://link.springer.com/article/10.1007/s40140-014-0068-3
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