Postoperative nausea and vomiting

Smith, Christopher; Haas, Richard E.

doi:10.1097/eja.0000000000000674

Cited by 9 publications

(9 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Moreover, no significant side effects associated with the medication or the operation itself were noted in our study. It was in line to the study by Duan et al, who found that ESPB offered patients the benefit of a decreased incidence of PONV but with no discernible difference between them and the other control group, leading to a shorter length of hospital stay.7 Additionally, PONV was discovered by Smith et al to be the most prevalent and undesirable adverse effect of opioids that may lengthen hospital stays 15.…”

supporting

confidence: 85%

Bilateral ultrasound guided erector spinae plane block for postoperative pain management in lumbar spine surgery

Gamal¹,

Abo²,

Shaer³

et al. 2023

Anaesth. pain intensive care

View full text Add to dashboard Cite

Background & Objective: The postoperative pain after spine surgery is almost always severe. A recently described loco-regional procedure called the erector spinae plane block (ESPB) has been claimed to be associated with positive outcomes. We evaluated the ESPB's efficacy for the relief of postoperative pain after lumbar spine surgery. Methodology: This randomized controlled clinical investigation was conducted at the Ain Shams University Hospitals during the course of a year starting January 2021. Patients were randomly allocated to one of the two groups: Group C (the control group) patients underwent lumbar spine surgery under conventional general anesthesia (GA) in accordance with hospital policy. Group ESP was administered GA similar to the control group, but the patients received bilateral ultrasound-guided ESPB before starting lumbar spine surgery. The primary objective was total morphine consumption. Numeric rating scale (NRS) scores were measured at rest on shifting to post-anesthesia care unit (PACU) and then at 2 h, 6 h, 10 h, 14 h, 18 h and 24 h in the ward. Complications, e.g., PONV and hemodynamic parameters were recorded on shifting to PACU and then at 2 h, 6 h, 10 h, 14 h, 18 h and 24 h in the ward. Results: Total morphine consumption was higher in the control group than the Group ESP, at the 6th, 12th, and 18th hours postoperatively, the numeric rating scale scores in Group ESP were lower compared to the control group, and ESPB significantly reduced the time to first mobilization when compared to the control group. In terms of PONV and postoperative vital signs, there was no statistically significant difference; however, the patient satisfaction was higher in Group ESP was far more satisfied than the control group overall. Conclusion: We conclude that bilateral ultrasound guided ESPB is useful for postoperative analgesia in patients having lumbar spine operations. It lowered postoperative opioid consumption, decreased pain scores at various time intervals, and increased patient satisfaction while reducing the occurrence of PONV. Key words: Ultrasound; Erector spinae plane block; Pain; Pain management; Spine surgery Citation: Hamdi AA, Abo Zeid GSE, Al Shaer AN, Shoukry RA, Sayed AG. Bilateral ultrasound guided erector spinae plane block for postoperative pain management in lumbar spine surgery. Anaesth. pain intensive care 2022;27(1):37−42; DOI: 10.35975/apic.v27i1.1979 Received: August 28, 2022; Reviewed: December 20, 2022; Accepted: December 22, 2022

show abstract

supporting

confidence: 85%

Bilateral ultrasound guided erector spinae plane block for postoperative pain management in lumbar spine surgery

Gamal¹,

Abo²,

Shaer³

et al. 2023

Anaesth. pain intensive care

View full text Add to dashboard Cite

show abstract

“…PONV is the most common and unpleasant opioid-related side effect. PONV may increase length of hospital stay [ 85 ]. A study of patient preferences for postoperative anesthesia outcomes showed that avoiding PONV was preferable to postoperative pain [ 86 ].…”

Section: Discussionmentioning

confidence: 99%

Regional block techniques for pain management after video-assisted thoracoscopic surgery: a covariate-adjusted Bayesian network meta-analysis.

Jiang¹,

Mo²,

Zhan³

et al. 2023

Videosurgery and Other Miniinvasive Techniques

View full text Add to dashboard Cite

Introduction: Nerve block is widely used for pain management after video-assisted thoracoscopic surgery (VATS). Thoracic paravertebral block (TPVB), erector spinae plane block (ESPB), serratus anterior plane block (SAPB), and intercostal nerve block (ICNB) are alternative treatments. Material and methods: Network meta-analysis based on Bayesian analyses was performed to obtain results for direct comparison, indirect comparison, and network comparison, and to make rankings based on probabilities. Covariates were adjusted to determine the effect of the covariates on results of this study.Results: The study identified 61 randomized controlled trials (RCTs) (4468 patients). There were results of probability ranking for the first ("best" treatment): 24 h morphine consumption, TPVB > ESPB > ICNB > SAPB. Covariate adjustment allowed the four treatments to change somewhat in the likelihood of the best choice. Conclusions: TPVB ranks best in our analysis. ESPB is a viable alternative. SAPB and ICNB seem to play a limited role in postoperative pain management.

show abstract

“…Pulmonary complications are the most frequent complications seen after the operations performed under general anesthesia, caused by numerous factors summarized in Table 5, with an incidence of up to 50%; [3][4][5][6][7][8] majorly dependent to the impeded swallowing, traumatic discordance in pharyngeal structures, and alterations on the physiology of the gastrointestinal tract, [9][10][11][12][13][14] of which may last up to the postoperative 18 th hour. [15,16] Postoperative pulmonary complication incidence of our study was 18.7%, which revealed that male gender, smoking history, coexistence of COPD, and psychiatric complication occurrence were the factors associated with higher risk for post-thoracotomy pulmonary complication incidence; all in accordance with the current literature.…”

Section: Discussionmentioning

confidence: 99%

What is the optimal postoperative oral feeding timing protocol for thoracotomy patients? Prospective randomized clinical trial on postoperative complications

Evman¹,

Akoğlu²,

Yıldızeli³

et al. 2017

Turk Gogus Kalp Dama

View full text Add to dashboard Cite

Postoperative nausea and vomiting

Cited by 9 publications

References 8 publications

Bilateral ultrasound guided erector spinae plane block for postoperative pain management in lumbar spine surgery

Bilateral ultrasound guided erector spinae plane block for postoperative pain management in lumbar spine surgery

Regional block techniques for pain management after video-assisted thoracoscopic surgery: a covariate-adjusted Bayesian network meta-analysis.

What is the optimal postoperative oral feeding timing protocol for thoracotomy patients? Prospective randomized clinical trial on postoperative complications

Contact Info

Product

Resources

About