scholarly journals AB230. Measuring and managing post operative nausea and vomiting in the post anaesthetic care unit

2020 ◽  
Vol 4 ◽  
pp. AB230-AB230
Author(s):  
Eoin Murray ◽  
Elvin Moynagh ◽  
Kevin Doody
Keyword(s):  
Nausea And Vomiting ◽  
Anaesthetic Care ◽  
Post Operative Nausea

scholarly journals Post operative nausea and vomiting, its causes, and the way of its prevention and treatment

2021 ◽  
Vol 6 (1) ◽  
pp. 1405-1415
Author(s):  
Surendra Maharjan ◽  
Zhang Bing
Keyword(s):  
Risk Factor ◽  
General Anaesthesia ◽  
Postoperative Nausea ◽  
Postoperative Nausea And Vomiting ◽  
Nausea And Vomiting ◽  
Modal Approach ◽  
Anaesthetic Care ◽  
Prevention And Treatment ◽  
Post Operative Nausea ◽  
Antiemetic Medication

Postoperative nausea and vomiting is still occurring in one third of the patient undergoing surgery under general anaesthesia even after following the guidelines and using multi modal approach for its prevention. Lots of studies have been done for its prevention but very few studies are done for its treatment in Post anaesthetic care unit after the failure of prophylaxis. The purpose of this article is to know about the risk factor, incidence of nausea and vomiting after surgery, its mechanism, available medication (pharmacological and nonpharmacological), reducing risk factor, and mainly to know about the method of using the antiemetic medication in PACU after the failure of the prophylactic medication.

scholarly journals The use of high-dose intrathecal diamorphine in laparoscopic bariatric surgery: a single-centre retrospective cohort study

2018 ◽  
Vol 13 (2) ◽  
pp. 106-111 ◽  
Author(s):  
Thomas G Wojcikiewicz ◽  
John Jeans ◽  
Anil Karmali ◽  
Jackline Nkhoma ◽  
Jonathan Cousins ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Nausea And Vomiting ◽  
Morphine Consumption ◽  
Randomised Control Trial ◽  
High Dose ◽  
Laparoscopic Bariatric Surgery ◽  
Pain Scores ◽  
Anaesthetic Care ◽  
Spinal Anaesthetic ◽  
Post Operative Nausea

Introduction: The use of intrathecal diamorphine is not commonplace in laparoscopic bariatric surgery. At our institution, a major UK bariatric centre, high-dose intrathecal diamorphine is routinely utilised. Methods: Data were analysed retrospectively. Fifty-three patients who had a spinal anaesthetic were matched against age, sex, body mass index and surgical procedure type to generate controls. Pain scores were recorded in the post-anaesthetic care unit on arrival, after 1 hour and on discharge to the ward. Post-operative nausea and vomiting; post-operative hypertension; pruritus; 24-hour morphine consumption and length of stay were measured. Results: Pain scores were better in the spinal anaesthetic group in all measured categories (p = 0.033, p < 0.01, p < 0.01); post-operative nausea and vomiting was less common in the spinal anaesthetic group (p < 0.01); post-operative hypertension was less common in the spinal anaesthetic group (p = 0.25); pruritus was more common in the spinal anaesthetic group (p < 0.01); morphine consumption was less common in the spinal anaesthetic group (p = 0.037). Length of hospital stay was reduced by 12.4 hours (p = 0.025). Conclusion: We propose that this is a practical and safe technique to adopt. A randomised-control trial will need to be conducted in order to find the most efficacious volume of local anaesthetic and dose of diamorphine

Low-dose haloperidol prevents post-operative nausea and vomiting after ambulatory laparoscopic surgery

2008 ◽  
Vol 52 (2) ◽  
pp. 280-284 ◽  
Author(s):  
T. F. WANG ◽  
Y. H. LIU ◽  
C. C. CHU ◽  
J. P. SHIEH ◽  
J. I. TZENG ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Low Dose ◽  
Nausea And Vomiting ◽  
Post Operative Nausea

Analysis Of Post Operative Nausea And Vomiting In The Post Anesthesia Care Unit

2016 ◽  
Vol 31 (4) ◽  
pp. e59-e60
Author(s):  
Alison Partridge ◽  
Suzanne Hunnicutt ◽  
Carol Walker ◽  
Christina Crook ◽  
Shelley Stinson ◽  
...  
Keyword(s):  
Nausea And Vomiting ◽  
Anesthesia Care ◽  
Post Anesthesia Care Unit ◽  
Post Operative Nausea

Semi-Permanent Acupuncture Needles in the Prevention of Post-Operative Nausea and Vomiting

1996 ◽  
Vol 14 (2) ◽  
pp. 68-70 ◽  
Author(s):  
J Andrzejowski ◽  
D Woodward
Keyword(s):  
Controlled Trial ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Nausea And Vomiting ◽  
Control Group ◽  
Study Group ◽  
Median Score ◽  
Severe Nausea ◽  
Post Operative Nausea ◽  
Trial Study Group

The efficacy of acupressure and acupuncture at the Pericardium 6 (PC.6) point in relieving post-operative nausea and vomiting (PONV) is well known. Lengthy manual stimulation of the needles, or electrostimulation, is inconvenient and incurs extra costs. The aim of this study was to test the effectiveness of the antiemetic action of semi-permanent acupuncture needles (SPANs), a cheap and convenient method of administering acupuncture, in the first 48 hours following gynaecological surgery. Patients (n = 36) having total abdominal hysterectomy were studied in a randomised, placebo controlled trial. Study group patients had SPANs inserted in PC.6 on both wrists. The control group had SPANs inserted into sham points on their forearms. There was no difference in the median nausea scores between the groups; however six patients suffered moderate or severe nausea during the second 24 hours in the control group, with none in the study group (p < 0.05). In addition, the nausea score between 8 and 24 hours in patients who had previously experienced PONV, was lower in the study group (median score 2) compared to the control group (median score 4) (p < 0.05). We conclude that the use of SPANs does not reduce the overall incidence of nausea and vomiting but does appear to reduce the severity of nausea in the second 24 hours, and has a greater effect on patients who had had nausea and vomiting after a previous anaesthetic.

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