Incidence of nausea and vomiting after fast-track anaesthesia for heart surgery
Rev. bras. cir. cardiovasc
; Rev. bras. cir. cardiovasc;33(4): 371-375, July-Aug. 2018. tab
Article
in En
| LILACS
| ID: biblio-958423
Responsible library:
BR1.1
ABSTRACT
Abstract Objective:
The aim of this study was to evaluate the incidence of postoperative nausea and vomiting (PONV) after fast-track cardiac anesthesia (FTCA) in the first 24-48 hours in the cardiac intensive care unit (CICU) after open-heart surgery, risk factors for PONV and its influence on CICU length of stay.Methods:
A prospective observational study from January 1, 2013 to the end of December 2015 was performed in the CICU of a university hospital in the north of Jordan and Queen Alia Heart Institute, Amman, Jordan. Three hundred consecutive patients undergoing fast-track cardiac anesthesia in elective cardiac surgery were enrolled in the study. Nausea and vomiting were assessed after tracheal extubation, which was performed within 6-10 hours after surgery and during the first 24-48 hours in the CICU. Metoclopramide 10 mg intravenously was used as the initial antiemetic drug, but ondansetron 4 mg intravenously was also used as second line of management.Results:
Nausea was reported in 46 (15.3%) patients, and vomiting in 31 (10.3%). Among females, 38 (33.9%) patients developed nausea and 20 (17.9%) developed vomiting. Among males, 8 (4.3%) patients developed nausea and 11 (5.9%) developed vomiting.Conclusion:
PONV are relatively low after FTCA and the prophylactic administration of antiemetic drug before anesthesia or after extubation is not necessary.Key words
Full text:
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Index:
LILACS
Main subject:
Postoperative Nausea and Vomiting
/
Anesthesia, Cardiac Procedures
/
Cardiac Surgical Procedures
Type of study:
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limits:
Adult
/
Aged
/
Aged80
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Female
/
Humans
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Male
Country/Region as subject:
Asia
Language:
En
Journal:
Braz. j. cardiovasc. surg. (impr.)
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Brazilian journal of cardiovascular surgery
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Rev Bras Cir Cardiovasc
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Rev. bras. cir. cadiovasc. (Online)
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Rev. bras. cir. cardiovasc
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Revista brasileira de cirurgia cardiovascular
Journal subject:
CARDIOLOGIA
/
CIRURGIA GERAL
Year:
2018
Type:
Article