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An exploratory study of the relationship between postoperative nausea and vomiting and postdischarge nausea and

Arvind Chandrakantan1, Ruth A Reinsel2, Ronald Jasiewicz3

  • 1Department of Anesthesiology, Baylor College of Medicine, Houston, Texas.

Paediatric Anaesthesia
|February 15, 2019
PubMed

Insights

Postoperative nausea and vomiting (PONV) can continue after discharge in children. Pain and male gender were linked to nausea at discharge, while nausea at discharge predicted further vomiting and nausea post-discharge.

Area of Science:

  • Pediatric Anesthesiology
  • Surgical Outcomes Research
  • Patient Recovery Monitoring

Background:

  • Postoperative nausea and vomiting (PONV) is a common concern in pediatric surgery.
  • Previous research has focused on in-hospital PONV, with limited data on postdischarge symptoms.
  • The factors influencing nausea and vomiting after a child leaves the hospital remain largely unstudied.

Purpose of the Study:

  • To investigate the incidence and predictors of postdischarge nausea and vomiting (PDNV) in pediatric patients.
  • To determine if factors associated with in-hospital PONV contribute to PDNV.
  • To identify specific risk factors for PDNV in ambulatory pediatric surgery patients.

Main Methods:

  • A preliminary study involving 122 pediatric patients (aged 5-10 years) undergoing elective ambulatory surgery.
  • Child self-ratings of nausea and pain were collected preoperatively, at discharge, and for 3 days postdischarge.
  • Stepwise logistic regression analysis was used to identify predictors of nausea and emesis at different time points.

Main Results:

  • Nearly half of the children (47%) experienced nausea at discharge, and 11% had emesis on the day of surgery.
  • Nausea at discharge was associated with male gender and pain at discharge.
  • Nausea at discharge predicted emesis on the day of surgery and nausea on postoperative day 1.

Conclusions:

  • Postoperative nausea and vomiting can extend into the postdischarge period for pediatric patients.
  • Pain experienced by the child at discharge is a significant factor contributing to PDNV.
  • Further research is warranted to understand and manage PDNV effectively.
Abstract

Keywords:
Pediatric ambulatory dischargePediatric nauseaPediatric vomitingPostdischarge nauseaPostdischarge vomiting

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