Náusea e Vômito no Pós-Operatório: Validação da Versão em Português da Escala de Intensidade de Náuseas e Vômitos Pós-Operatórios

Abstract

The PONV Intensity Scale appears to be an accurate and reliable assessment and monitoring instrument for PONV in the PACU settings.

Preoperative Fasting Abbreviation and its Effects on Postoperative Nausea and Vomiting Incidence in Gynecological Surgery Patients

“…According to the PONV VAS, a score > 70 mm was the cutoff point for nausea or severe vomiting. 4,17 The present study had a relatively low incidence of nausea and vomiting when compared with data from similar populations in the literature. Studies in low-risk populations for PONV indicate an incidence ranging from 20 to 30%.…”

“…Nausea and vomiting, as well as pain, are among the most undesirable postsurgical side effects. 4,[10][11][12][13][14][15][16] It is important for the gynecological surgeon and team to determine the appropriate management of these unpleasant effects, with practices that allow greater comfort in the recovery of the patients. Dalila et al 4 and Odom-Forren et al 17,18 suggest evaluating PONV as a quality variable in postanesthetic recovery units (PARUs).…”

“…Dalila et al 4 and Odom-Forren et al 17,18 suggest evaluating PONV as a quality variable in postanesthetic recovery units (PARUs). 4,17,18 Based on the model proposed by Dalila et al, 4 a VAS for measuring PONV intensity, considered an accurate and reliable instrument for the evaluation of this parameter, was applied in the present study. According to the PONV VAS, a score > 70 mm was the cutoff point for nausea or severe vomiting.…”

“…Each criterion receives a point, and the high-risk patients are those with scores > 3 points. 3,4 Many perioperative care routines recommend controlling anxiety, nausea and vomiting as a way of humanizing hospital care. 5,6 However, little is known about preoperative fasting abbreviation as a tool to relieve tension and suffering of women undergoing gynecological surgery, who are naturally at risk for nausea and vomiting according to the criteria by Apfel et al 3,4 This simple measure could reduce such negative postoperative symptoms in gynecological surgeries.…”

Efeitos da abreviação do jejum pré-operatório com solução de carboidrato e proteína em sintomas pós-operatórios de cirurgias ginecológicas: ensaio clínico randomizado controlado duplo-cego.

“…Rev Col Bras Cir 46(5):e20192295Efforts to reduce postoperative symptoms, such as pain, anxiety, and preoperative tension, as well as to value perioperative satisfaction, are highlighted in this study. These measures may provide a positive impact on the quality of perioperative care from the perspective of the surgical patient26,28 .Imbelloni et al18 suggest the analysis of practical parameters, such as thirst, hunger, agitation, satisfaction, and well-being, through a simple and objective questionnaire (yes and no), as an instrument for assessing surgical patient's satisfaction. The results of table 2 show that there was statistically significant difference in the quality of surgical recovery between the groups when analyzing these subjective variables.…”