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Revista mexicana de anestesiología
Print version ISSN 0484-7903
Abstract
ROBLES-ESPINOZA, Gerardo Daniel; MARTINEZ-RAMIREZ, José Saúl and TORRES-ALARCON, Carmen Gabriela. Prevalence of postoperative nausea and vomiting in laparoscopic cholecystectomy at a third level of care. Rev. mex. anestesiol. [online]. 2019, vol.42, n.1, pp.19-27. Epub Sep 30, 2020. ISSN 0484-7903.
Introduction:
Postoperative nausea and vomiting are frequent complications of anesthesia, the prevention of this complication is fundamental from the pre-anesthetic period. Its etiology is multifactorial with variable prevalences ranging from 20 to 92%.
Objective:
To determine the prevalence of postoperative nausea and vomiting in laparoscopic cholecystectomy in a tertiary care hospital.
Material and methods:
An observational, descriptive, prospective and longitudinal study was conducted in patients who were scheduled for elective laparoscopic cholecystectomy in a tertiary care hospital, the presentation of nausea, vomiting and the combination of both symptoms was measured, upon awakening of the patient, the first, second and twenty-four postoperative.
Results:
224 patients were included, of which the female sex represented 75.45%, with an average age of 44.4 ± 13.9 years. The prevalence of nausea in the first 24 hours was 33.03%. and it was preceded by vomiting in 93.24% of patients with a prevalence of 31.25%. the combination of both symptoms; postoperative nausea and vomiting, had a prevalence of 33.5%. The type of prophylactic medication that was received the majority was ondansetron with 48.86%, the prevalence of postoperative nausea and vomiting had no difference in the prophylactic treatment used. Treatment with opioids is one of the factors that was associated with a greater presentation of nausea and/or vomiting.
Keywords : Nausea; vomiting; postoperative; nausea and postoperative vomiting.