Effect of oral gastric tube insertion during anesthesia induction on nausea and vomiting of adenotonsillectomized patients
Advances in Nursing & Midwifery,
Vol. 21 No. 76 (2012),
8 January 2012
,
Page 28-34
Abstract
Abstract
Background and aim:
Nausea and vomiting are from the most common complications of surgeryduring recovery. Adenotonsillectomy is a common surgery among children, which can be followed
by some complications such as nausea, vomiting, bleeding, and even death in some cases. There are
some medical and nonmedical remedies to decrease nausea and vomiting. A nonmedical therapeutic
procedure is reduction of abdominal pressure using oral gastric tube. This study aims to assess
effects of gastric tube insertion during anesthesia induction on nausea and vomiting of
adenotonsillectomized patients.
Materials and Methods:
This study was a clinical trial on 72 adenotonsillectomised children aged6 to 12 years old in Shahid Montazeri hospital of Najaf-Abad. Patients were randomly divided to
two groups of case group (36 Children with oral gastric tube) and controls group (36 children
without oral gastric tube). Anesthesia method for both groups was similar. Frequency of nausea and
vomiting were measured during the 24 hours following adenotonsillectomy. Data was analyzed
using SPSS 15 and Mannwhithney U, Chi square, Spearman, Friedman and wilcoxon tests.
Findings:
Two groups were not significantly different regarding their demographic characteristicssuch as age, sex and weight (p>0.05). Frequencies of nausea and vomiting were significantly lower
in the intervention group comparing to the control group in the first 2 hours in recovery room as
well as in the first 2, 6, and 14 hours of patient attendance in the postsurgical ward (P
0/05).Conclusion:
This study showed that the use of oral gastric tube during anesthesia induction canreduce nausea and vomiting after adenotonsillectomy.
Key words
: Adenotonsillectomy, anesthesia induction, Nausea and vomiting, oral gastric tube.REFERENCES
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