تعیین تهوع و استفراغ زودرس و ریسک فاکتورهای آن پس از جراحی های ارتوپدی در بیماران مراجعه کننده به بیمارستان های دانشگاه علوم پزشکی تبریز در طی سال 1400
مجله آنستزیولوژی و مراقبتهای ویژه ایران,
Vol. 2 No. 116 (1400),
3 October 2022
Abstract
مقدمه: بروز تهوع و استفراغ زودهنگام پس از جراحی(در طی دو ساعت اول پس از جراحی) ریسک تهوع و استفراغ را در طی 24 ساعت اول پس از جراحی به میزان سه برابر و در طی 48 ساعت اول پس از جراحی به میزان 5 برابر افزایش میدهد. لذا اطلاع از بروز این عارضه و همچنین ریسک فاکتورهای آن می توانند در برنامه ریزی های پیشگیرانه و درمانی موثر واقع شود؛ لذا هدف از مطالعه حاضر تعیین تهوع و استفراغ زودرس و ریسک فاکتورهای آن پس از جراحی های ارتوپدی می باشد. روش کار: این مطالعه به صورت توصیفی مقطعی و در طی بازه سمانی سال 1400 در دو بیمارستان شهدا و امام رضا دانشگاه علوم پزشکی تبریز با مشارکت 1250 بیمار کاندید جراحی های ارتوپدی انجام شد. ریسک فاکتورهای تهوع و اتسفراغ پس از جراحی برای تمام بیماران ثبت شد و ریسک فاکتورهای بروز تهوع و استفراغ زودهنگام تعیین شد. نتایج: سن بالا، وزن بالا، شاخص توده بدنی بالا بالا، جنسیت مرد، روش بیهوشی عمومی، کلاس ASA بالاتر، روش جراحی اورژانسی، سابقه تهوع و استفراغ قبلی، سابقه بیماری حرکت، عدم تجویز پروفیلاکتیک داروی ضد تهوع، بروز تهوع و استفراغ در ریکاوری،تجویز مورفین در انتهای جراحی، تجویز اوپیوئید در واحد ریکاوری و طول مدت ریکاوری در بیماران با بروز تهوع و استفراغ زودهنگام بین دو گروه به صورت معناداری متفاوت است. نتیجه گیری: از هر 4 بیمار کاندید جراحی ارتوپدی، یک بیمار به تهوع و استفراغ زودهنگام پس از جراحی مبتلا می شود که ریسک فاکتورهای آن در این مطالعه مشخص شدند.
Keywords:
- تهوع و استفراغ پس از جراحی، زودهنگام، ارتوپدی، سهم اثر
How to Cite
انوری م., & مرادی ا. (2022). تعیین تهوع و استفراغ زودرس و ریسک فاکتورهای آن پس از جراحی های ارتوپدی در بیماران مراجعه کننده به بیمارستان های دانشگاه علوم پزشکی تبریز در طی سال 1400. مجله آنستزیولوژی و مراقبتهای ویژه ایران, 2(116). Retrieved from https://journals.sbmu.ac.ir/isacc/index.php/iranesthesia/article/view/443
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23. Gol MK, Dadashzadeh M, Anvari HM. Design and implementation of a checklist for prediction of anesthesia-induced nausea and vomiting in candidate patients for mastectomy. International Journal of Women’s Health and Reproduction Sciences. 2020;8(1):90-4.
24. AHMED N, MUHAMMAD AB, SHARIF M, ZAFARULLAH YRT. Comparison of Dexamethasone With Ondansetron for Prevention of Post-Operative Nausea and Vomiting. 2020.
25. Zeb A, Khan ZU, Zeb A, Jan RU. Prevention & Treatment of Post-operative Nausea & Vomiting (PONV) in Elective Spinal Surgery with Metoclopramide & Ondansetron. Ophthalmology Update. 2020;18(2):85-90.
26. Fakhari S, Bile Jani I, Atashkhouei S, Khanbabayi Gol M, Soliemanzadeh S. Comparing the effect of hypotension treatment due to spinal anesthesia with ephedrine or phenylephrine on arterial blood gases and neonatal Apgar score during cesarean delivery in obese mothers: randomized clinical trial. The Iranian Journal of Obstetrics, Gynecology and Infertility. 2019;22(10):12-20.
2. Wang T, Liu H, Sun JH, Wang L, Zhang JY. Efficacy of intravenous lidocaine in improving post‑operative nausea, vomiting and early recovery after laparoscopic gynaecological surgery. Experimental and therapeutic medicine. 2019;17(6):4723-9.
3. Johansson E, Hultin M, Myrberg T, Walldén J. Early post‐operative nausea and vomiting: A retrospective observational study of 2030 patients. Acta Anaesthesiologica Scandinavica. 2021;65(9):1229-39.
4. Aubrun F, Ecoffey C, Benhamou D, Jouffroy L, Diemunsch P, Skaare K, et al. Perioperative pain and post-operative nausea and vomiting (PONV) management after day-case surgery: The SFAR-OPERA national study. Anaesthesia Critical Care & Pain Medicine. 2019;38(3):223-9.
5. Sinha V, Vivekanand D, Singh S. Prevalence and risk factors of post-operative nausea and vomiting in a tertiary-care hospital: A cross-sectional observational study. Medical Journal Armed Forces India. 2020.
6. Amiri AA, Karvandian K, Ashouri M, Rahimi M, Amiri AA. Comparison of post-operative nausea and vomiting with intravenous versus inhalational anesthesia in laparotomic abdominal surgery: a randomized clinical trial. Revista Brasileira de Anestesiologia. 2020;70:471-6.
7. Kushner B, Freeman D, Henriksen B, Henslee K, Waldrop A, Salles A, et al. A168 Assessing Post-operative Nausea and Vomiting After Bariatric Surgery Using a Validated Questionnaire. Surgery for Obesity and Related Diseases. 2019;15(10):S44-S5.
8. Stephenson SJ, Jiwanmall M, Cherian NE, Kamakshi S, Williams A. Reduction in post-operative nausea and vomiting (PONV) by preoperative risk stratification and adherence to a standardized anti emetic prophylaxis protocol in the day-care surgical population. Journal of Family Medicine and Primary Care. 2021;10(2):865.
9. Kawalirek Novoa I. Non-pharmacological nursing interventions in Post-Operative Nausea and Vomiting treatment. 2019.
10. Sharma R, Goyal P, Wadhwa M, Gupta M, Mandial V, Jaswal K. Efficacy of Levosulpride in minimizing Post-operative Nausea and Vomiting after Laparoscopic Cholecystectomy. Age (in years). 2019;39:7.55.
11. Ali U, Tsang M, Igbeyi B, Balakrishnan S, Shackell K, Kotzer G, et al. A 4 year quality improvement initiative reducing post‐operative nausea and vomiting in children undergoing strabismus surgery at a quaternary paediatric hospital. Pediatric Anesthesia. 2019;29(7):690-7.
12. Kandavar S, Padmanabha S. Comparison of Effects of Propofol and Sevoflurane Used in Maintenance of General Anaesthesia on Post-Operative Nausea and Vomiting--A Prospective Observational Study. Journal of Evolution of Medical and Dental Sciences. 2021;10(20):1515-9.
13. Hossain MS, Rahman MA, Rashid M, Alamgir M, Waliullah M, Babu AR, et al. Dexamethasone is cost-effective alternative to ondansetron in preventing Post-Operative Nausea and Vomiting. Bangladesh Journal of Otorhinolaryngology. 2018;24(1):14-21.
14. Sizemore DC, Singh A, Dua A, Singh K, Grose BW. Postoperative nausea. StatPearls [Internet]: StatPearls Publishing; 2022.
15. Mekala AR, Anirudh MD, Abhinav MR. Study on Granisetron, Ondansetron and Palonosetron to Prevent Post-operative Nausea and Vomiting after Laparoscopic Surgeries. Call for Editorial Board Members.1505.
16. Whitley MJ. The Use of Aromatherapy for the Treatment of Post-Operative Nausea Vomiting. 2019.
17. ul Huda A, Jordan RW, Daggett M, Saithna A. Pre-medication with Gabapentin is associated with significant reductions in nausea and vomiting after shoulder arthroscopy: A meta-analysis. Orthopaedics & Traumatology: Surgery & Research. 2019;105(8):1487-93.
18. Soleimani M, Mohammadi M, Teymourian H, Gholizadeh N, Khazaei Y, Safari F. The effect of fluid therapy in acute post-operative complications of breast cancer; pain and post-operative nausea and vomiting. International Journal of Cancer Management. 2018;11(6).
19. Gol MK, Aghamohamadi D. Effect of massage therapy with and without elastic bandaging on pain, edema, and shoulder dysfunction after modified radical mastectomy: a clinical trial. International Journal of Women’s Health and Reproduction Sciences. 2020;8(1):73-8.
20. Sridharan K, Sivaramakrishnan G. Drugs for preventing post-operative nausea and vomiting in patients undergoing laparoscopic cholecystectomy: Network meta-analysis of randomized clinical trials and trial sequential analysis. International Journal of Surgery. 2019;69:1-12.
21. Aytolign HA, Nigatu YA, Denu ZA, Arefayine NR. Incidence of post-operative nausea and vomiting and its associated factors following pediatric ophthalmic surgery at University of Gondar Comprehensive Specialized Hospital, 2019. International Journal of Surgery Open. 2020;27:197-203.
22. Parrish CC. An Exploration of Certified Registered Nurse Anesthetists’ Knowledge and Use of Aromatherapy for Treatment of Post-Operative Nausea and Vomiting: Georgetown University; 2020.
23. Gol MK, Dadashzadeh M, Anvari HM. Design and implementation of a checklist for prediction of anesthesia-induced nausea and vomiting in candidate patients for mastectomy. International Journal of Women’s Health and Reproduction Sciences. 2020;8(1):90-4.
24. AHMED N, MUHAMMAD AB, SHARIF M, ZAFARULLAH YRT. Comparison of Dexamethasone With Ondansetron for Prevention of Post-Operative Nausea and Vomiting. 2020.
25. Zeb A, Khan ZU, Zeb A, Jan RU. Prevention & Treatment of Post-operative Nausea & Vomiting (PONV) in Elective Spinal Surgery with Metoclopramide & Ondansetron. Ophthalmology Update. 2020;18(2):85-90.
26. Fakhari S, Bile Jani I, Atashkhouei S, Khanbabayi Gol M, Soliemanzadeh S. Comparing the effect of hypotension treatment due to spinal anesthesia with ephedrine or phenylephrine on arterial blood gases and neonatal Apgar score during cesarean delivery in obese mothers: randomized clinical trial. The Iranian Journal of Obstetrics, Gynecology and Infertility. 2019;22(10):12-20.
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