[Postoperative nausea and vomiting in major trauma surgery]

Area of Science:

• Anesthesiology and Perioperative Medicine
• Surgical Complications
• Patient Outcomes Research

Context:

• Postoperative nausea and vomiting (PONV) are frequent complications following surgery.
• PONV significantly impacts patient comfort and can increase morbidity.
• Effective prediction and management of PONV are crucial for optimal patient care.

Purpose:

• To determine the prevalence of PONV in patients undergoing major orthopedic and trauma surgery.
• To identify prognostic factors influencing the occurrence of PONV.
• To develop a predictive model for PONV risk assessment.

Summary:

• A prospective study of 201 patients found a PONV prevalence of 39.8%.
• Key risk factors identified include female gender, a history of PONV, and undergoing aggressive surgery.
• A predictive model (Y= -1,334 + 0,753*S + 1,5602*NVP + 0,769*IQa) was developed based on these factors.

Impact:

• The high prevalence underscores the need for improved PONV management strategies.
• The predictive model can aid clinicians in stratifying patient risk preoperatively and postoperatively.
• Personalized therapeutic strategies can be implemented to mitigate PONV incidence and severity.