International Journal For Multidisciplinary Research

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Clinical audit on management of Post Operative Nausea and Vomiting

Author(s) Tanmoy Biswas, Sushmita Bhattacharya
Country India
Abstract Postoperative nausea and vomiting (PONV) are common complications following surgery, affecting up to 30% of patients despite advances in anaesthesia and surgical techniques. It can be distressing for patients and may lead to complications such as dehydration, electrolyte imbalances, wound dehiscence, and delayed recovery.

Several factors contribute to PONV, including patient-related factors (such as age, gender, history of motion sickness, and smoking), anaesthesia-related factors (type and duration of anaesthesia, use of volatile anaesthetics, opioids, and muscle relaxants), and surgical factors (type and duration of surgery, intraoperative hypotension, and use of certain drugs like opioids and nitrous oxide). It can be determined by APFEL score which says that female sex, non-smokers, history of motion sickness and post operative use of opioids have high chances of PONV. Although PONV is a very detrimental disorder, it can last for several hours to days.
Not only it depends on the anaesthetic factors it is also affected by surgical stress. PONV is said to the most important factor resulting to delayed recovery and prolonged hospital stay.
Keywords post operative nausea and vomitting, antiemetics, apfel score
Field Medical / Pharmacy
Published In Volume 6, Issue 5, September-October 2024
Published On 2024-10-30
Cite This Clinical audit on management of Post Operative Nausea and Vomiting - Tanmoy Biswas, Sushmita Bhattacharya - IJFMR Volume 6, Issue 5, September-October 2024. DOI 10.36948/ijfmr.2024.v06i05.29651
DOI https://doi.org/10.36948/ijfmr.2024.v06i05.29651
Short DOI https://doi.org/g8p2sz
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