ObjectiveThe aim of this study was to evaluate the incidence of postoperative nausea
and vomiting (PONV) after fast-track cardiac anesthesia (FTCA) in the first
24-48 hours in the cardiac intensive care unit (CICU) after open-heart
surgery, risk factors for PONV and its influence on CICU length of stay.MethodsA prospective observational study from January 1, 2013 to the end of December
2015 was performed in the CICU of a university hospital in the north of
Jordan and Queen Alia Heart Institute, Amman, Jordan. Three hundred
consecutive patients undergoing fast-track cardiac anesthesia in elective
cardiac surgery were enrolled in the study. Nausea and vomiting were
assessed after tracheal extubation, which was performed within 6-10 hours
after surgery and during the first 24-48 hours in the CICU. Metoclopramide
10 mg intravenously was used as the initial antiemetic drug, but ondansetron
4 mg intravenously was also used as second line of management.ResultsNausea was reported in 46 (15.3%) patients, and vomiting in 31 (10.3%). Among
females, 38 (33.9%) patients developed nausea and 20 (17.9%) developed
vomiting. Among males, 8 (4.3%) patients developed nausea and 11 (5.9%)
developed vomiting.ConclusionPONV are relatively low after FTCA and the prophylactic administration of
antiemetic drug before anesthesia or after extubation is not necessary.
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