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Inclusion was prospective and consecutive. 17, The difference in risk factors for postoperative nausea and vomiting could be explained by the difference in the physiology of the two events. AUC = area under the curve; BMI = body mass index; NSAID = nonsteroidal antiinflammatory drug; PONV = postoperative nausea and vomiting; PVAS = persistence of VAS pain scores; VAS = visual analog scale; T max = time of the maximal pain score. Time-related pain VAS measurements were summarized by various parameters as described elsewhere: AUC = area under the VAS–time curve (cm × h); mean VAS (cm); VASmax = peak of VAS (cm); Tmax = time of VASmax (h); and PVAS > 3 = the persistence of pain VAS over 3 cm, i.e. Undesirable Postoperative Anesthesia Outcomes at Two National Referral Hospitals: A Cross-Sectional Study in Eritrea.  |  The estimation of the unknown parameters of the Dale model and of their SEs is carried out by the maximum likelihood method. Anti-dopaminergic drug could help ease postoperative nausea and vomiting in high-risk patents. The mean dose of sufentanil used was 23.3 ± 53.9 μg. , 11,12,24and more recently Kranke et al. 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. The incidence of PONV after administration of various anesthetic agents reported by different authors cannot be compared since each group of authors used different criteria and different population groups. As seen in table 5, patients undergoing gynecological (P = 0.0082), urological (P = 0.022), abdominal (P = 0.028), and, to a lesser extent, neurologic (P = 0.074), ophthalmologic (P = 0.074), or maxillofacial (P = 0.066) surgery had an increased risk of developing nausea but not vomiting when compared to ENT patients. Postoperative nausea and vomiting following inpatient surgeries in a teaching hospital: a retrospective database analysis. Results were expressed as mean ± SD for quantitative variables and as proportions for categorical factors. In some studies, analysis of PONV is restricted to vomiting, whereas in others, nausea, vomiting, and retching are recorded together. 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. 14, As recently stated by Tramèr, 14,35“more precise quantification of PONV incidence will come from studies where nausea and vomiting are separate endpoints, and the cumulative incidence of nausea and vomiting is reported at different time points.” The methodological issue used in this survey considered these recommendations. 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. A nesthesiology 1955; 16: 564–72, Burtles R, Peckett BW: Postoperative vomiting: Some factors affecting its incidence. A nesthesiology 1999; 91: 693–700, Kranke P, Apfel CC, Papenfuss T, Rauch S, Lobmann U, Rubsam B, Greim CA, Roewer N: An increased body mass index is no risk factor for postoperative nausea and vomiting: A systematic review and results of original data. More than 25% of the patients had a history of PONV, motion sickness, or migraine. In turn, the most complicated model incorporates all covariates for both outcomes. Hysterectomies trigger part of the nervous system that can predispose to nausea and vomiting after surgery. A nesthesiology 1960; 21: 186–93, Cohen MM, Duncan PG, DeBoer DP, Tweed WA: The postoperative interview: assessing risk factors for nausea and vomiting. The score constructed by Apfel et al. Some risk factors were predictive of both nausea and vomiting (female gender, nonsmoking status, and general anesthesia). In studies with these drawbacks, the true influence of the investigated risk factor remained unclear. 6,8,11,13,21,22History of migraine majored nausea without any influence on vomiting. Minerva Anestesiol. NIH POSTOPERATIVE nausea and vomiting—usually summarized as PONV—remains one of the most common and distressing complications after surgery. This site needs JavaScript to work properly. The role of opioids in PONV is unclear. 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. Author information: (1)Servicio de … In that respect, the bivariate Dale model is an interesting alternative to classic approaches, which apply logistic regression to each outcome separately and hence ignore the dependence structure of nausea and vomiting. Among the 671 patients in the study, 126 (19%) reported one or more episodes of nausea, and 66 patients (10%) suffered one or more emetic episodes during the studied period. It is commonly stated that risk factors for postoperative nausea are the same as for vomiting. BMC Anesthesiol. 34Nausea is not always followed by retching or vomiting. Anesthetic and Postoperative Analgesic Drugs. There are a number of risk factors for PONV. Search for other works by this author on: Watcha MF, White PF: Postoperative nausea and vomiting: Its etiology, treatment, and prevention. Peng F, Peng T, Yang Q, Liu M, Chen G, Wang M. Sci Rep. 2020 Oct 30;10(1):18708. doi: 10.1038/s41598-020-74697-3. , 26,27who found that intravenous induction of anesthesia with propofol has no relevant effect on PONV. The study included 671 consecutive surgical inpatients, aged 15 yr or more, undergoing various procedures. 2008 Aug;107(2):459-63. doi: 10.1213/ane.0b013e31817aa6e4. Br J Anaesth 2002; 88: 659–68, Pierre S, Benais H, Pouymayou J: Apfel's simplified score may favorably predict the risk of postoperative nausea and vomiting. 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