Incidence of Nausea and Vomiting After Fast-Track Anaesthesia for Heart Surgery
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| Format: | Artículo científico |
| Language: | en |
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Sociedade Brasileira de Cirurgia Cardiovascular
2018
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| _version_ | 1876444188909764608 |
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| author | Emad Mohamed Hijazi |
| author_facet | Emad Mohamed Hijazi |
| contents | Incidence of Nausea and Vomiting After Fast-Track Anaesthesia for Heart Surgery Emad Mohamed Hijazi Hayel Edwan Nabil Al-Zoubi Hadi Radaideh Medicina Nausea Vomiting Anesthesia Cardiac Procedures Postoperative Nausea and Vomiting 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. 2018 artículo científico 0102-7638 https://www.redalyc.org/articulo.oa?id=398956442009 https://www.redalyc.org/journal/3989/398956442009/ https://www.redalyc.org/journal/3989/398956442009/html/ https://www.redalyc.org/journal/3989/398956442009/398956442009.epub https://www.redalyc.org/journal/3989/398956442009/movil 10.21470/1678-9741-2018-0040 en http://www.redalyc.org/revista.oa?id=3989 Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery application/pdf Sociedade Brasileira de Cirurgia Cardiovascular Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery (Brasil) Num.4 Vol.33 |
| format | Artículo científico |
| id | redalyc_398956442009 |
| institution | Redalyc |
| language | en |
| publishDate | 2018 |
| publisher | Sociedade Brasileira de Cirurgia Cardiovascular |
| spellingShingle | Incidence of Nausea and Vomiting After Fast-Track Anaesthesia for Heart Surgery Emad Mohamed Hijazi Medicina Nausea Vomiting Anesthesia Cardiac Procedures Postoperative Nausea and Vomiting Incidence of Nausea and Vomiting After Fast-Track Anaesthesia for Heart Surgery Emad Mohamed Hijazi Hayel Edwan Nabil Al-Zoubi Hadi Radaideh Medicina Nausea Vomiting Anesthesia Cardiac Procedures Postoperative Nausea and Vomiting 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. 2018 artículo científico 0102-7638 https://www.redalyc.org/articulo.oa?id=398956442009 https://www.redalyc.org/journal/3989/398956442009/ https://www.redalyc.org/journal/3989/398956442009/html/ https://www.redalyc.org/journal/3989/398956442009/398956442009.epub https://www.redalyc.org/journal/3989/398956442009/movil 10.21470/1678-9741-2018-0040 en http://www.redalyc.org/revista.oa?id=3989 Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery application/pdf Sociedade Brasileira de Cirurgia Cardiovascular Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery (Brasil) Num.4 Vol.33 |
| title | Incidence of Nausea and Vomiting After Fast-Track Anaesthesia for Heart Surgery |
| topic | Medicina Nausea Vomiting Anesthesia Cardiac Procedures Postoperative Nausea and Vomiting |
| url | https://www.redalyc.org/articulo.oa?id=398956442009 https://www.redalyc.org/journal/3989/398956442009/ https://www.redalyc.org/journal/3989/398956442009/html/ https://www.redalyc.org/journal/3989/398956442009/398956442009.epub https://www.redalyc.org/journal/3989/398956442009/movil |