Fentanyl-induced cough is a risk factor for postoperative nausea and vomiting

Abstract

Non-smoking women undergoing gynaecological surgery who develop FIC during induction of anaesthesia have a higher incidence of PONV.

Intravenous Lidocaine for the Prevention of Cough: Systematic Review and Meta-analysis of Randomized Controlled Trials

“…On emergence from anesthesia, cough may protect against aspiration. However, cough can also result in perioperative morbidity, including tachyarrhythmia, arterial hypertension, cardiovascular collapse, and airway complications, [1][2][3][4][5][6][7][8][9] and it may increase intracranial, intraabdominal, and intraocular pressure. 10 An effective technique for preventing cough would be desirable in many situations where patients are at a particular risk.…”

The Optimal Administration Time of Butorphanol in Suppressing Sufentanil-induced Cough: A Single-Center Randomized Double-Blind Trial

“…Oshima et al [14] .completed a cohort study from 1311 adult patients, these authors reported that increasing age, cigarette smoking were associated with a decreased risk of fentanyl-induced cough. OIC is a risk factor for postoperative nausea and vomiting, which means young female nonsmoker may decrease the incidence of postoperative nausea and vomiting by reducing the happening of OIC [15] . However, in a randomized, double-blind study, they found no association of age or smoking status on the incidence of cough in any of the groups [15] .…”

“…OIC is a risk factor for postoperative nausea and vomiting, which means young female nonsmoker may decrease the incidence of postoperative nausea and vomiting by reducing the happening of OIC [15] . However, in a randomized, double-blind study, they found no association of age or smoking status on the incidence of cough in any of the groups [15] . So the relationship between patients' individual physical conditions and OIC is remain controversial.…”

Effect of preoperative incentive spirometry on fentanyl-induced cough: a prospective, randomized, controlled study

“…FIC is usually benign, but sometimes leads to an undesirable, exaggerated response like bronchospasm, aspiration of gastric contents, difficult ventilation, increased intracranial, intraocular, or intraabdominal pressure, or an increased incidence of postoperative nausea and vomiting [ 6 7 8 9 10 ]. These unwanted adverse effects are very undesirable at induction of anesthesia, preventing smooth and rapid patient recovery without postoperative adverse sequelae.…”

“…The severity of FIC varies from a mild self-limiting episode to a severe spasmodic life-threatening cough. Adverse consequences are more dangerous in certain populations, such as patients undergoing ophthalmic or neurosurgical procedures [ 6 7 8 9 10 ].…”