scholarly journals Effectiveness of Intraoperative Laser Acupuncture Combined with Antiemetic Drugs for Prevention of Postoperative Nausea and Vomiting

2020 ◽  
Vol 26 (1) ◽  
pp. 67-71
Author(s):  
Neslihan Unsal ◽  
Zeynep Nur Akcaboy ◽  
Ozlem Balkız Soyal ◽  
Erkan Yavuz Akcaboy ◽  
Nevzat Mehmet Mutlu ◽  
...  
Keyword(s):  
Postoperative Nausea ◽  
Postoperative Nausea And Vomiting ◽  
Nausea And Vomiting ◽  
Laser Acupuncture ◽  
Antiemetic Drugs

scholarly journals Aggressive Prophylactic Treatments for Postoperative Nausea and Vomiting Improve Outcomes in Pediatric Adenotonsillectomy Procedure

2020 ◽  
Vol 25 (4) ◽  
pp. 303-308
Author(s):  
Tatyana Demidovich ◽  
Orlando Perez-Franco ◽  
Marco Silvestrini-Suarez ◽  
Pin Yue
Keyword(s):  
Risk Factors ◽  
High Risk ◽  
General Anesthesia ◽  
Postoperative Nausea ◽  
Pediatric Patients ◽  
Pediatric Population ◽  
Postoperative Nausea And Vomiting ◽  
Nausea And Vomiting ◽  
Antiemetic Drugs ◽  
Pacu Stay

OBJECTIVE Postoperative nausea and vomiting (PONV) is an extremely common side effect of general anesthesia that is difficult to manage. We tested a hypothesis that an aggressive prophylactic intervention with additional antiemetic drugs will reduce the incidence of PONV in a high-risk pediatric population undergoing adenotonsillectomy. METHODS In this retrospective study, pediatric patients undergoing adenotonsillectomy were screened for their risk factors for PONV. Patients who had 3 or more risk factors were identified as high risk and received either scopolamine patch preoperatively (for patients over 40 kg body weight) or diphenhydramine immediately postextubation in addition to ondansetron and dexamethasone, which are given routinely. Incidences of PONV within the first 60 minutes of a postanesthesia care unit (PACU) stay were collected and analyzed. RESULTS Overall postoperative vomiting rates during the first hour of a PACU stay were 4.3% for the group that was treated with dexamethasone and ondansetron only and 3.9% for the group that was treated with additional antiemetic drugs. Aggressive prophylactic management of PONV did reduce the rate of nausea and vomiting in a group of high-risk patients (p < 0.0001). The postoperative antiemetic drug usage was also decreased during the first 60 minutes of a PACU stay. However, the approach did not reduce the overall rate of PONV for the entire study population (p = 0.1612 for nausea and p = 0.0678 for vomiting). CONCLUSION Aggressive intraoperative management of PONV with additional antiemetic drugs are beneficial in high-risk pediatric population. Intraoperative diphenhydramine usage decreased the rate of PONV. However, preoperative scopolamine patch prevention did not improve PONV, which may be related to the drug's longer onset of action. Our result suggests that current clinical practice is undertreating PONV in pediatric patients receiving general anesthesia.

Complementary Intervention in Postoperative Care: Aromatherapy's Role in Decreasing Postoperative Nausea and Vomiting

2021 ◽  
pp. 089801012110655
Author(s):  
Emily Marsh ◽  
Donna Millette ◽  
Alison Wolfe
Keyword(s):  
Postoperative Nausea ◽  
Intervention Group ◽  
Postoperative Nausea And Vomiting ◽  
Nausea And Vomiting ◽  
Quality Improvement Intervention ◽  
Post Intervention ◽  
Electronic Health Record Data ◽  
Antiemetic Drugs ◽  
Complementary Intervention ◽  
The Impact

Purpose: This study analyzed the efficacy of Post-Ease, a custom essential oil aromatherapy blend, in decreasing postoperative nausea and vomiting (PONV) and the need for antiemetic drugs in an orthopaedic surgical population. Study Design: This is retrospective cohort study, utilizing electronic health record data pre- and post-implementation of a nurse-driven quality improvement intervention. Methods: The study examined the impact of an inhaled custom blend of essential oils containing lavender, peppermint, ginger and lemon to assist in decreasing PONV and reduce the use of antiemetic medications. Data on the use of antiemetic drugs in pre- and post-intervention periods were analyzed. Findings: Nurses provided the Post-Ease blend 384 times in 2020 to patients as an option before proceeding, if necessary, to antiemetic drugs. The intervention group demonstrated a statistically significant reduction in the number of unique surgical patients’ need for antiemetics as treatment (22%; p = .05). Similarly, the total doses of antiemetics administered was significantly reduced (21%; p ≤ .05) during the study period. Conclusion: This study supports the use of aromatherapy to reduce PONV and minimize antiemetic use in an orthopaedic population.

scholarly journals Postoperative Nausea and Vomiting: Development of a Management Protocol

1998 ◽  
Vol 26 (2) ◽  
pp. 152-155 ◽  
Author(s):  
M. J. Paech ◽  
T. J. G. Pavy ◽  
J. H. Kristensen ◽  
R. E. Wojnar-Horton
Keyword(s):  
Nursing Education ◽  
Program Implementation ◽  
Postoperative Nausea ◽  
Treatment Algorithm ◽  
Postoperative Nausea And Vomiting ◽  
Nausea And Vomiting ◽  
Patient Treatment ◽  
Continuous Quality ◽  
Antiemetic Drugs ◽  
Management Protocol

Postoperative nausea and vomiting (PONV) is still an important and common problem. Despite the introduction of new antiemetic drugs, the management of PONV remains difficult. In this article we describe the development and evaluation of a management protocol for PONV, which consists of a treatment algorithm accompanied by a nursing education program. Implementation of this management protocol has been well-accepted by staff, appears to have reduced delay in patient treatment and improved patient care, and has significantly reduced staff workload. It is planned to use continuous quality improvement techniques to further refine the algorithm and continue assessment of its efficacy and of patient satisfaction.

Postoperative Nausea and Vomiting: An Overview

2002 ◽  
Vol 37 (10) ◽  
pp. 1055-1065 ◽  
Author(s):  
Jean G. Dib ◽  
Raquel Tiu
Keyword(s):  
Postoperative Nausea ◽  
New Technology ◽  
Postoperative Nausea And Vomiting ◽  
Indirect Costs ◽  
Patient Characteristics ◽  
Nausea And Vomiting ◽  
Occurrence Rate ◽  
Anesthetic Techniques ◽  
Pharmacological Agents ◽  
Antiemetic Drugs

Despite new technology and pharmacological agents, postoperative nausea and vomiting continues to have a 20% to 30% occurrence rate. New antiemetic drugs and improved anesthetic techniques have decreased the incidence of anesthesia-induced postoperative nausea and vomiting. Patient characteristics and surgical factors are now largely responsible for postoperative emesis. Postoperative nausea and vomiting can lead to serious complications such as aspiration, dehydration, electrolyte disturbances, and disruption of the incision site. Postoperative nausea and vomiting leads to increased direct and indirect costs and may be associated with patients' dissatisfaction with the surgical experience. Nonpharmacological and pharmacological treatments, including new antiemetic drugs, have decreased the incidence of postoperative nausea and vomiting. However, clinical trials are needed to determine the most suitable treatments for the most common causes of postoperative nausea and vomiting.

Sign in / Sign up

Export Citation Format

Share Document