Postoperative nausea and vomiting: Incidence, characteristics and risk factors – A prospective cohort study

Moreno, Carlos; Veiga, D.; Pereira, Hélder; Martinho, Clarisse; Abelha, Fernando

doi:10.1016/j.redar.2013.02.005

Cited by 19 publications

(9 citation statements)

References 28 publications

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“…Many recent surgical reports showed that gender differences in prevalence of postoperative nausea and vomiting (PONV) DOI:http://dx.doi.org/10.7314/APJCP.2013.14.10.5995 Nausea and Vomiting after Transcatheter Arterial Chemoembolization for HCC (Huppe et al, 2013;Moreno et al, 2013). Furthermore, ALP was the predisposing risk factor for postembolization vomiting as well.…”

Section: Discussionmentioning

confidence: 99%

Nausea and Vomiting after Transcatheter Arterial Chemoembolization for Hepatocellular Carcinoma: Incidence and Risk Factor Analysis

Wang

Zhu

Vargulick

et al. 2013

Asian Pacific Journal of Cancer Prevention

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Section: Discussionmentioning

confidence: 99%

Nausea and Vomiting after Transcatheter Arterial Chemoembolization for Hepatocellular Carcinoma: Incidence and Risk Factor Analysis

Wang

Zhu

Vargulick

et al. 2013

Asian Pacific Journal of Cancer Prevention

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“…Studies by Sokół-Kobielska and Muszyński show that vomiting occurred 3 times more often in women than in men [10]. Moreno et al reported similar results [11].…”

Section: Discussionmentioning

confidence: 71%

Analysis of PONV incidence in gynaecology patients

Ćwiek

Wojciechowska

Szymoniak

et al. 2020

Pomeranian Journal of Life Sciences

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Introduction: Postoperative nausea and vomiting (PONV) is the most common side effect of anaesthesia, as reported by patients in the postoperative period. The overall incidence of PONV, according to various authors, is in the 8–92% range. The latest research on the pathophysiology of vomit reflexes has played an important role in changing the perception of PONV and introduction of PONV prevention, which significantly improves patient comfort by reducing the number of complications and shortening the length of the hospital stay.The aim of the study was to analyse the incidence of PONVin gynaecological patients.Materials and methods: The study was conducted among 300 women, patients of the Surgical Gynaecology and Gynaecological Oncology Clinic for Adults and Girls at the Independent Public Clinical Hospital No. 2 of the Pomeranian Medical University in Szczecin, who underwent surgery due to a variety of gynaecological conditions in the period from May to October 2015. The research tool was the author’s own questionnaire containing 22 closed-ended questions. The questionnaire included demographics as well as an assessment of the state of the women’s health in terms of complications (nausea, vomiting), and substance use (tobacco, alcohol). Patient medical records were also analysed.Results: The results demonstrated: 1) no relationship between the socio-demographic variables and the incidence of nausea and vomiting in the postoperative period; 2) no relationship between PONV and specific medical variables, such as alcohol use, body mass index (BMI), administration of opioids such as fentanyl and fentanyl plus morphine; 3) a relationship between the type of surgery, anaesthesia used, smoking, and the incidence of nausea and vomiting; 4) a high risk of nausea and vomiting in patients after administration of spinal morphine into the subarachnoid space; 5) metabolic diseases, diseases of the lower digestive tract, respiratory conditions, and motion sickness had a negative influence on the incidence of PONV.Conclusions: 1. The type and duration of surgery as well as the type of anaesthesia and opioids used affected the incidence of nausea and vomiting in the postoperative period. If possible, every effort should be made to shorten the duration of surgery, perform surgery laparoscopically and administer drugs, which do not affect the incidence of nausea and vomiting. 2. There is a need for organisational changes in hospitals regarding the introduction and compliance with ERAS, in particular, with regard to the withdrawal of food and drink before surgery.3. The use of chewing gum strongly reduced the incidence of nausea and vomiting. Therefore, it would be important to introduce, as a standard practice, this non-pharmacological prevention method in the postoperative period.

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“…In the ENIGMA (Evaluation of Nitrous Oxide in the Gas Mixture for Anaesthesia) trial, which was primarily intended 43 In Spanish and Portuguese University Teaching Hospitals, the reported incidence of PONV was identical at 34%. 66,67…”

Section: Incidence Of Ponv In Contemporary Practicementioning

confidence: 99%

Ambulatory anesthesia and postoperative nausea and vomiting: predicting the probability

Hegarty

Buckley

McCaul

2016

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Nausea and vomiting are distinctly unpleasant symptoms that may occur after surgery and anesthesia, and high priority is given to their prevention by patients. Research in this area is plentiful and has focused on event prediction and pharmacological prophylaxis but despite this, postoperative nausea and vomiting (PONV) typically occurs in 20%-30% of patients in contemporary practice. Prediction of postoperative and postdischarge nausea and vomiting is particularly important in the ambulatory surgical population as these symptoms may occur following discharge from hospital and continue for up to one week when access to antiemetic therapies is limited. Many of the existing predictive scoring systems are based on data from inpatient populations and limited to the first 24 hours after surgery. Scoring systems based on data from ambulatory surgical populations to predict PONV are only moderately good. The best-performing systems in ambulatory patients are those of Sinclair and Sarin with an area under the receiver operating characteristic curve of 0.78 and 0.74, respectively, but are limited by the short duration of follow-up and a greater emphasis on nausea than vomiting. Given that the ability to predict both PONV and postdischarge nausea and vomiting is clearly limited, emphasis has been placed on prophylactic strategies that incorporate antiemetic medication, intravenous hydration, and nonnarcotic analgesia. PONV has been reduced to <10% in institutions using multimodal approaches. Scoring systems may facilitate "risk tailoring" in which patient risk profile is used as a stratification method for pharmacointervention.

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Postoperative nausea and vomiting: Incidence, characteristics and risk factors – A prospective cohort study

Cited by 19 publications

References 28 publications

Nausea and Vomiting after Transcatheter Arterial Chemoembolization for Hepatocellular Carcinoma: Incidence and Risk Factor Analysis

Nausea and Vomiting after Transcatheter Arterial Chemoembolization for Hepatocellular Carcinoma: Incidence and Risk Factor Analysis

Analysis of PONV incidence in gynaecology patients

Ambulatory anesthesia and postoperative nausea and vomiting: predicting the probability

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