A Cross Sectional Study on Postoperative Nausea and Vomiting – Risk Prediction and Assessment in Patients Undergoing Elective Surgical Patients
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 3
Abstract
Introduction: Postoperative nausea and vomiting (PONV) is a common encountered problem in surgical patients. The risk factors for PONV are multi-factorial in origin. There are many tools in assessing PONV using various scales. With this background we conducted a cross sectional study to predict the risk and assessment of PONV using Apfel score and Visual Analogue Scale (VAS). Material and methods: A study population of 60 patients planned to undergo major surgical procedures were enrolled after obtaining informed consent. The patients were followed up in the postoperative period to look for the intensity of nausea using visual analogue scale and the episodes of retching/ vomiting. Baseline parameters including of demographic data along with perioperative details like type of anesthesia, opioid usage, prophylactic & rescue antiemetic usage were noted from anesthesia record/case sheet. Results: All statistical analyses were done using SPSS for Window version 16.0. The overall incidence of PONV was found to be 33.3% in our study. Using Apfel score it was found that three major risk factors were present in majority of patients who experienced PONV (60% of patients). The clinically significant nausea VAS score >75mm was observed during the first 4 hours of postoperative period. And it was adequately treated with rescue antiemetic (80% of patients). Conclusion: From our study we concluded that risk determination for PONV must be an integral part of perioperative care. The patients with 2 or more risk factors should be given prophylactic antiemetic before the planned surgical procedure to make them less burden both financially and medically.
Authors and Affiliations
Anu Karthiga Manoharan, Nazir Ahmed Mallick, Swarnalingam Thangavelu
Keywords
Related Articles
- EP ID EP427119
- DOI -
- Views 113
- Downloads 0
A Comparative Interventional Study Using Single Port and Double Port Methods in Diagnostic Laparoscopy for Evaluation of Cases of Infertility
Introduction: Overall incidence of infertility is 10-15%.Of all the couples attempting to conceive, 16% are unsuccessful after one year, this reduce to 8% after 2 years and 7% after 3 years. The aim of this study to comp...
Impact of Atherosclerotic Carotid Artery Disease in Patients of Stroke and Recent TIA Using Colour Doppler Sonography- A Prospective Study in Eastern India
Introduction: Cerebral ischemic stroke is life-threatening and debilitating neurological disease, it is the second leading cause of death in the world. Previous many studies emphasise on significant importance of atheros...
A Prospective Study on Non-closure and Closure of Visceral and Parietal Peritoneum During Caesarean Section
Introduction: Caesarean section is the most common surgery performed in Obstetrics and is some times associated with the morbidity. The present study was conducted to assess the short term morbidity of non-closure of the...
Profile of Anemia in Chronic Kidney Disease Patients at a Rural Tertiary Care Centre: A Prospective Observational Study
Introduction: Anemia is a very common manifestation among patients of CKD. As the renal dysfunction increases in severity, there is proportional increase in prevalence and severity of haematological impairment. There is...
Nephropathy in Newly Diagnosed Type 2 Diabetics and the Impact of Hypertension
Introduction: Diabetic kidney disease is a common complication in diabetes mellitus causes significant morbidity and mortality. The objective of this study was to know the incidence of Diabetic kidney disease in newly di...