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Postoperative vomiting in children

J Kermode1, S Walker, I Webb

  • 1Royal Children's Hospital, Melbourne, Victoria.

Anaesthesia and Intensive Care
|April 1, 1995
PubMed

Insights

Postoperative vomiting in children occurred in 24% of cases, with higher rates in older children and those on opioids. This incidence is lower than previously reported, possibly due to updated anesthetic techniques.

Area of Science:

  • Pediatric Anesthesiology
  • Quality Improvement in Healthcare

Background:

  • Postoperative vomiting (POV) is a common complication in pediatric surgery.
  • Previous studies indicated a higher incidence of POV in children.

Purpose of the Study:

  • To assess the current incidence of POV in pediatric patients.
  • To identify risk factors associated with POV.
  • To compare current POV rates with historical data.

Main Methods:

  • A prospective survey of 1476 children over two months.
  • Data collection as part of a quality assurance program.
  • Analysis of patient age and opioid administration as potential factors.

Main Results:

  • The overall incidence of POV was 24%.
  • POV was most frequent in children older than three years.
  • Opioid use was associated with a higher incidence of POV.
  • The current POV incidence is lower than in a 1981 survey.

Conclusions:

  • Current anesthetic practices may be contributing to a reduced incidence of POV.
  • Targeted interventions for high-risk groups (older children, opioid users) may be beneficial.

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