Supplemental oxygen and the incidence of nausea and vomiting after day case surgery

2001 ◽  
Vol 170 (S2) ◽  
pp. 84-84
Keyword(s):  
Supplemental Oxygen ◽  
Nausea And Vomiting ◽  
Day Case ◽  
Day Case Surgery ◽  
Case Surgery

scholarly journals The influence of different perioperative analgesia modes on postoperative nausea and vomiting in day-case surgery patients

2016 ◽  
Vol 10 (3) ◽  
pp. 184-191
Author(s):  
Alexei Y. Karelov ◽  
Yu. M Borobov
Keyword(s):  
Postoperative Nausea ◽  
Analgesic Efficacy ◽  
Postoperative Nausea And Vomiting ◽  
Nausea And Vomiting ◽  
Day Case ◽  
Day Case Surgery ◽  
Perioperative Analgesia ◽  
Nitrous Oxide Anaesthesia ◽  
Oxide Anaesthesia ◽  
Case Surgery

The influence of perioperative analgesia modes on the prevalence of postoperative nausea and vomiting in day-case surgery patients is investigated in the article. The study involved 100 cases of unilateral phlebectomy under propofol and nitrous oxide anaesthesia, randomized by 4 groups with different perioperative analgesia modes of 25 patients each. In the first group fentanyl IV infusion was provided during surgery, in the second group it was amplified with ketoprofen 100 mg IV. In the third group sodium adenosintriphosphate IV infusion was provided for the whole surgery time, whereas the patients in the fourth group received 100 mg ketoprofen IV before it. Analgesic efficacy of all the four modes was equal, while ketoprofen administration aggravated and prolonged postoperative nausea and vomiting without influence on PONV morbidity.

The Effect of Alternative Anaesthetic Agents on Post-Operative Nausea and Vomiting in Adult Day-Case Surgery

2002 ◽  
Vol 96 (Sup 2) ◽  
pp. A22
Author(s):  
Evan W. Moore ◽  
Julia K. Moore ◽  
Rachel A. Elliott ◽  
Nigel J.N. Harper ◽  
Katherine Payne
Keyword(s):  
Nausea And Vomiting ◽  
Day Case ◽  
Day Case Surgery ◽  
Anaesthetic Agents ◽  
Case Surgery ◽  
Post Operative Nausea

scholarly journals Perioperative pain and post-operative nausea and vomiting (PONV) management after day-case surgery: The SFAR-OPERA national study

2019 ◽  
Vol 38 (3) ◽  
pp. 223-229 ◽  
Author(s):  
Frédéric Aubrun ◽  
Claude Ecoffey ◽  
Dan Benhamou ◽  
Laurent Jouffroy ◽  
Pierre Diemunsch ◽  
...  
Keyword(s):  
Nausea And Vomiting ◽  
National Study ◽  
Day Case ◽  
Day Case Surgery ◽  
Perioperative Pain ◽  
Case Surgery ◽  
Post Operative Nausea

Minor Morbidity after Day-Case Surgery

1998 ◽  
Vol 43 (2) ◽  
pp. 54-56 ◽  
Author(s):  
J.D. Hunter ◽  
W.A. Chambers ◽  
K.I. Penny
Keyword(s):  
Postoperative Nausea And Vomiting ◽  
Diagnostic Procedures ◽  
Postal Questionnaire ◽  
Nausea And Vomiting ◽  
Day Case ◽  
Day Case Surgery ◽  
Number Of Patients ◽  
Case Surgery ◽  
The Uk ◽  
The Impact

The number of patients and procedures considered suitable for day-case anaesthesia and surgery continues to grow and it is hoped that 50–60% of all operations in the UK will eventually be performed on a day-patient basis.1 However, minor but troublesome post-operative side effects remain common. We have examined the incidence of the most common causes of minor morbidity, namely headache, nausea /vomiting and pain occurring after a wide variety of day-case surgical and diagnostic procedures. Patient satisfaction with treatment and the impact of day case surgery on the workload of the general practitioner was also assessed. The anaesthetic records of the patients involved were reviewed in an attempt to determine if there was any association between the anaesthetic technique and an adverse outcome. A simple postal questionnaire completed on the morning after surgery was returned by 553 patients (response rate over 87%). More than 50% of respondents complained of some morbidity, with 40% complaining of pain, 19% of headache and 9% of nausea and vomiting. One third self-medicated to modify their symptoms, and in most cases (81%) this was effective. However, 6% of patients called their GP for advice and 2% received a home visit. No patient required readmission. A total of 92 patients (17%) would have preferred treatment as an in-patient. Analysis of the anaesthetic drugs and techniques suggested that the commonly used anti-emetics droperidol and metoclopramide had little effect on the incidence of postoperative nausea and vomiting. Intubation was associated with a significantly higher incidence of minor morbidity although this may be related to surgical factors.

Morphine-sparing Effect of Acetaminophen in Pediatric Day-case Surgery 

1999 ◽  
Vol 91 (2) ◽  
pp. 442-447 ◽  
Author(s):  
Reijo Korpela ◽  
Pekka Korvenoja ◽  
Olli A. Meretoja
Keyword(s):  
Single Dose ◽  
Postoperative Pain ◽  
Postoperative Nausea And Vomiting ◽  
Nausea And Vomiting ◽  
Postanesthesia Care Unit ◽  
Day Case ◽  
Rescue Analgesia ◽  
Day Case Surgery ◽  
Case Surgery ◽  
Sparing Effect

Background Postoperative pain is a major problem in day-case surgery in children. Nonsteroidal antiinflammatory drugs have gained popularity in management of pediatric surgical patients to reduce the need for opioids. The aim of this study was to evaluate the efficacy of different doses of rectal acetaminophen in day-case surgery in children. Methods A randomized, double-blinded, placebo-controlled study design was used. Patients (n = 120) were randomized to receive a single dose of 0, 20, 40, or 60 mg/kg of rectal acetaminophen after induction of anesthesia. General anesthesia was induced by mask ventilation with sevoflurane (7%) in nitrous oxide and oxygen and maintained with 2.5-4.0% end-tidal sevoflurane. Opioids or local anesthetics were not used. Postoperative pain was evaluated by behavioral assessment and physiologic measurements every 10 min after arrival at the postanesthesia care unit. The pain intensity was scored using a 0-100 visual analog scale used in the authors' clinic. The need for rescue medication, intravenous morphine 0.1 mg/kg, was decided by the nurse, who was unaware of the rectal acetaminophen dose. The parents were interviewed by phone after 24 h regarding pain and its treatment, nausea, and vomiting. Rescue analgesia at home was rectal ibuprofen, 10 mg/kg. Results In the postanesthesia care unit pain scores were significantly lower in the 40- and 60-mg/kg groups compared with placebo and 20-mg/kg groups. Acetaminophen resulted in a dose-related reduction in the number of children who required postoperative rescue opioid, with significance reached with 40 or 60 mg/kg doses. Calculated dose of acetaminophen at which 50% of the children not requiring a rescue opioid was 35 mg/kg. The need for rescue analgesia at home during the first 24 h after surgery was also significantly less in patients in the 40- or 60-mg/kg groups than in the 0- or 20-mg/kg groups (20-17 vs. 80-63%). Thirty-three percent of patients receiving placebo had postoperative nausea and vomiting, compared with 0-3% in groups receiving 40 or 60 mg/kg acetaminophen. Conclusions A single dose of 40 or 60 mg/kg of rectal acetaminophen has a clear morphine-sparing effect in day-case surgery in children if administered at the induction of anesthesia. Moreover, children with adequate analgesia with acetaminophen have less postoperative nausea and vomiting.

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