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Incidence of postoperative nausea and vomiting in paediatric ambulatory surgery
I Villeret1, M Laffon, A Duchalais
1Unité d'Anesthésie-Réanimation Pédiatrique, CHU, Hôpital Clocheville, Tours, France. isabellevilleret@wanadoo.fr
Insights
Postoperative nausea and vomiting (PONV) occurred in 9.4% of pediatric patients after ambulatory surgery. PONV did not delay discharge or cause complications, with effective treatments available.
Area of Science:
- Anesthesiology
- Pediatric Surgery
- Patient Outcomes
Background:
- Prospective study on postoperative nausea and vomiting (PONV) incidence in pediatric ambulatory surgery.
- Excludes head and neck procedures over a 5-month period.
Purpose of the Study:
- Determine the incidence of PONV within 24 hours post-elective ambulatory pediatric surgery.
- Identify risk factors and associated conditions for PONV in this demographic.
Main Methods:
- Prospective descriptive study analyzing 407 pediatric patients (15 days to 16 years).
- Data collected on PONV occurrence, timing, and potential contributing factors.
Main Results:
- Overall PONV incidence was 9.4%, peaking within 3 hours post-anesthesia.
- Associated factors included age, prior PONV, tracheal intubation/LMA use, ventilation mode, opioids, and lack of oral intake.
- Surgery type, premedication, induction, regional anesthesia, nitrous oxide, anesthesia duration, PACU stay, and travel time were not significant factors.
Conclusions:
- PONV in pediatric ambulatory surgery did not lead to complications or discharge delays.
- Curative treatments for PONV were found to be rapidly effective.
Background:
We performed a prospective descriptive study over a 5-month period to determine the incidence of postoperative nausea and vomiting (PONV) during the first 24 h following elective ambulatory paediatric surgery, excluding head and neck procedures.
Methods:
Four hundred and seven patients, aged 15 days to 16 years, were analysed prospectively.
Results:
The incidence of PONV was 9.4%, occurring most frequently during the first 3 h after anaesthesia and in hospital but rarely during the journey home. It was associated with age, previous history of PONV, tracheal intubation or use of the laryngeal mask airway (LMA trade mark ), controlled or manual ventilation, opioids and absence of oral intake of liquids or solids. Conversely, type of surgery, premedication, induction mode, association of regional anaesthesia, inhaled nitrous oxide, duration of anaesthesia, stay in the postanaesthesia care unit and duration of journey after discharge were not significantly associated with PONV.
Conclusions:
PONV never induced complications or delayed patient discharge and curative treatment was rapidly effective.