Incidence of nausea and vomiting after fast-track anaesthesia for heart surgery
Rev. bras. cir. cardiovasc
;
33(4): 371-375, July-Aug. 2018. tab
Artigo
em Inglês
| LILACS
| ID: biblio-958423
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.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Náusea e Vômito Pós-Operatórios
/
Anestesia em Procedimentos Cardíacos
/
Procedimentos Cirúrgicos Cardíacos
Tipo de estudo:
Estudo de etiologia
/
Estudo de incidência
/
Estudo observacional
/
Estudo prognóstico
/
Fatores de risco
Limite:
Adulto
/
Idoso
/
Aged80
/
Feminino
/
Humanos
/
Masculino
País/Região como assunto:
Ásia
Idioma:
Inglês
Revista:
Rev. bras. cir. cardiovasc
Assunto da revista:
Cardiologia
/
Cirurgia Geral
Ano de publicação:
2018
Tipo de documento:
Artigo
País de afiliação:
Jordânia
Instituição/País de afiliação:
Jordan University of Science and Technology/JO
/
Queen Alia Heart Institute/JO
Similares
MEDLINE
...
LILACS
LIS