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Incidence of Nausea and Vomiting After Fast-Track Anaesthesia for Heart Surgery
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...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Sociedade Brasileira de Cirurgia Cardiovascular
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6122749/ https://www.ncbi.nlm.nih.gov/pubmed/30184034 http://dx.doi.org/10.21470/1678-9741-2018-0040 |
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author | Hijazi, Emad Mohamed Edwan, Hayel Al-Zoubi, Nabil Radaideh, Hadi |
author_facet | Hijazi, Emad Mohamed Edwan, Hayel Al-Zoubi, Nabil Radaideh, Hadi |
author_sort | Hijazi, Emad Mohamed |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-6122749 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Sociedade Brasileira de Cirurgia Cardiovascular |
record_format | MEDLINE/PubMed |
spelling | pubmed-61227492018-09-06 Incidence of Nausea and Vomiting After Fast-Track Anaesthesia for Heart Surgery Hijazi, Emad Mohamed Edwan, Hayel Al-Zoubi, Nabil Radaideh, Hadi Braz J Cardiovasc Surg Original Article 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. Sociedade Brasileira de Cirurgia Cardiovascular 2018 /pmc/articles/PMC6122749/ /pubmed/30184034 http://dx.doi.org/10.21470/1678-9741-2018-0040 Text en http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Hijazi, Emad Mohamed Edwan, Hayel Al-Zoubi, Nabil Radaideh, Hadi Incidence of Nausea and Vomiting After Fast-Track Anaesthesia for Heart Surgery |
title | Incidence of Nausea and Vomiting After Fast-Track Anaesthesia for
Heart Surgery |
title_full | Incidence of Nausea and Vomiting After Fast-Track Anaesthesia for
Heart Surgery |
title_fullStr | Incidence of Nausea and Vomiting After Fast-Track Anaesthesia for
Heart Surgery |
title_full_unstemmed | Incidence of Nausea and Vomiting After Fast-Track Anaesthesia for
Heart Surgery |
title_short | Incidence of Nausea and Vomiting After Fast-Track Anaesthesia for
Heart Surgery |
title_sort | incidence of nausea and vomiting after fast-track anaesthesia for
heart surgery |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6122749/ https://www.ncbi.nlm.nih.gov/pubmed/30184034 http://dx.doi.org/10.21470/1678-9741-2018-0040 |
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