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Incidence and risk factors for postoperative nausea and vomiting in orthognathic surgery: a 10-year retrospective study
OBJECTIVES: Postoperative nausea and vomiting (PONV) is considered as one of the most incessant and anguishing factors for patients who have surgery under general anesthesia. The occurrence of PONV after orthognathic surgery can lead to dehydration, infection, bleeding at the surgical site, and pati...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Korean Association of Oral and Maxillofacial Surgeons
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7222617/ https://www.ncbi.nlm.nih.gov/pubmed/32364351 http://dx.doi.org/10.5125/jkaoms.2020.46.2.116 |
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author | Ghosh, Subhabrata Rai, Kirthi Kumar Shivakumar, Hosadurga Rudraswamy Upasi, Amarnath P. Naik, Vinayak Gourish Bharat, Avijit |
author_facet | Ghosh, Subhabrata Rai, Kirthi Kumar Shivakumar, Hosadurga Rudraswamy Upasi, Amarnath P. Naik, Vinayak Gourish Bharat, Avijit |
author_sort | Ghosh, Subhabrata |
collection | PubMed |
description | OBJECTIVES: Postoperative nausea and vomiting (PONV) is considered as one of the most incessant and anguishing factors for patients who have surgery under general anesthesia. The occurrence of PONV after orthognathic surgery can lead to dehydration, infection, bleeding at the surgical site, and patient discomfort, all of which leave a patient with a negative impression of anesthesia and surgery. The purpose of this study is to assess the incidence of PONV after orthognathic surgery and to correlate it with factors related to patient, anesthesia, and surgery. MATERIALS AND METHODS: A 10-year retrospective survey was done for patients who underwent orthognathic surgery between January 2008 and March 2018. The incidence of PONV was evaluated, correlations with factors related to patient, anesthesia, and surgery were studied, and the duration between the end of surgery and the occurrence of the first episode of PONV was tabulated. RESULTS: The medical records of 109 patients were screened, out of which 101 satisfied the inclusion criteria. Amongst these patients, 60 patients (59.4%) suffered from PONV. Patient’s sex, induction agent used, intravenous fluids administered intraoperatively, duration and type of surgery, and the presence of a nasogastric tube were seen to have a significant influence on precipitating PONV. It was noted that among the patients who suffered from PONV, 61.7% of them experienced it 48-96 hours after the end of surgery. CONCLUSION: Despite the improved anesthetic equipments, drugs, and surgical techniques currently used, the incidence of PONV was high in our study. Certain factors that were seen to influence PONV in this study need to be considered in order to develop an efficacious protocol to reduce PONV in orthognathic surgeries. |
format | Online Article Text |
id | pubmed-7222617 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | The Korean Association of Oral and Maxillofacial Surgeons |
record_format | MEDLINE/PubMed |
spelling | pubmed-72226172020-05-29 Incidence and risk factors for postoperative nausea and vomiting in orthognathic surgery: a 10-year retrospective study Ghosh, Subhabrata Rai, Kirthi Kumar Shivakumar, Hosadurga Rudraswamy Upasi, Amarnath P. Naik, Vinayak Gourish Bharat, Avijit J Korean Assoc Oral Maxillofac Surg Original Article OBJECTIVES: Postoperative nausea and vomiting (PONV) is considered as one of the most incessant and anguishing factors for patients who have surgery under general anesthesia. The occurrence of PONV after orthognathic surgery can lead to dehydration, infection, bleeding at the surgical site, and patient discomfort, all of which leave a patient with a negative impression of anesthesia and surgery. The purpose of this study is to assess the incidence of PONV after orthognathic surgery and to correlate it with factors related to patient, anesthesia, and surgery. MATERIALS AND METHODS: A 10-year retrospective survey was done for patients who underwent orthognathic surgery between January 2008 and March 2018. The incidence of PONV was evaluated, correlations with factors related to patient, anesthesia, and surgery were studied, and the duration between the end of surgery and the occurrence of the first episode of PONV was tabulated. RESULTS: The medical records of 109 patients were screened, out of which 101 satisfied the inclusion criteria. Amongst these patients, 60 patients (59.4%) suffered from PONV. Patient’s sex, induction agent used, intravenous fluids administered intraoperatively, duration and type of surgery, and the presence of a nasogastric tube were seen to have a significant influence on precipitating PONV. It was noted that among the patients who suffered from PONV, 61.7% of them experienced it 48-96 hours after the end of surgery. CONCLUSION: Despite the improved anesthetic equipments, drugs, and surgical techniques currently used, the incidence of PONV was high in our study. Certain factors that were seen to influence PONV in this study need to be considered in order to develop an efficacious protocol to reduce PONV in orthognathic surgeries. The Korean Association of Oral and Maxillofacial Surgeons 2020-04-30 2020-04-30 /pmc/articles/PMC7222617/ /pubmed/32364351 http://dx.doi.org/10.5125/jkaoms.2020.46.2.116 Text en Copyright © 2020 The Korean Association of Oral and Maxillofacial Surgeons. All rights reserved. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Ghosh, Subhabrata Rai, Kirthi Kumar Shivakumar, Hosadurga Rudraswamy Upasi, Amarnath P. Naik, Vinayak Gourish Bharat, Avijit Incidence and risk factors for postoperative nausea and vomiting in orthognathic surgery: a 10-year retrospective study |
title | Incidence and risk factors for postoperative nausea and vomiting in orthognathic surgery: a 10-year retrospective study |
title_full | Incidence and risk factors for postoperative nausea and vomiting in orthognathic surgery: a 10-year retrospective study |
title_fullStr | Incidence and risk factors for postoperative nausea and vomiting in orthognathic surgery: a 10-year retrospective study |
title_full_unstemmed | Incidence and risk factors for postoperative nausea and vomiting in orthognathic surgery: a 10-year retrospective study |
title_short | Incidence and risk factors for postoperative nausea and vomiting in orthognathic surgery: a 10-year retrospective study |
title_sort | incidence and risk factors for postoperative nausea and vomiting in orthognathic surgery: a 10-year retrospective study |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7222617/ https://www.ncbi.nlm.nih.gov/pubmed/32364351 http://dx.doi.org/10.5125/jkaoms.2020.46.2.116 |
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