Factors Associated with Postoperative Nausea and Vomiting in Patients Undergoing an Ambulatory Hand Surgery.
10.4055/cios.2014.6.3.273
- Author:
Young Hak ROH
1
;
Hyun Sik GONG
;
Jeong Hwan KIM
;
Kyung Pyo NAM
;
Young Ho LEE
;
Goo Hyun BAEK
Author Information
1. Department of Orthopaedic Surgery, Gachon University Gil Medical Center, Gachon University School of Medicine, Incheon, Korea.
- Publication Type:Original Article
- Keywords:
Ambulatory hand surgery;
Nausea;
Vomiting;
Satisfaction
- MeSH:
Adolescent;
Adult;
Aged;
*Ambulatory Surgical Procedures;
Anesthesia, General;
Female;
Hand/*surgery;
Humans;
Male;
Middle Aged;
Patient Satisfaction;
Postoperative Nausea and Vomiting/*diagnosis;
Young Adult
- From:Clinics in Orthopedic Surgery
2014;6(3):273-278
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND: Patients undergoing ambulatory surgery under general anesthesia experience considerable levels of postoperative nausea and vomiting (N/V) after their discharge. However, those complications have not been thoroughly investigated in hand surgery patients yet. We investigated factors associated with postoperative N/V in patients undergoing an ambulatory hand surgery under general anesthesia and determined whether patients' satisfaction with this setting is associated with postoperative N/V levels. METHODS: We prospectively evaluated 200 consecutive patients who underwent ambulatory hand surgeries under general anesthesia to assess their postoperative N/V visual analogue scale (VAS) levels during the first 24 hours after surgery and their satisfaction with an ambulatory surgery setting. Potential predictors of postoperative N/V were; age, sex, body mass index, smoking behavior, a history of postoperative N/V after previous anesthesia or motion sickness, preoperative anxiety level and the duration time of anesthesia. We conducted multivariate analyses to identify factors associated with postoperative N/V levels. We also conducted multivariate logistic regression analyses to determine whether the N/V levels are associated with the patients' satisfaction with this setting. Here, potential predictors for satisfaction were sex, age, postoperative pain and N/V. RESULTS: Postoperative N/V were associated with a non-smoking history, a history of motion sickness and a high level of preoperative anxiety. Twenty-two patients (11%) were dissatisfied with the ambulatory setting and this dissatisfaction was independently associated with moderate (VAS 4-7) and high (VAS 8-10) levels of postoperative N/V and with a high level (VAS 8-10) of postoperative pain. CONCLUSIONS: Although most of the patients were satisfied with the ambulatory surgery setting, moderate to high levels of N/V were associated with dissatisfaction of patients with this setting, suggesting a need for better identifying and managing those patients at risk. The information regarding risk factors for N/V could help in preoperative patient consultation regarding an ambulatory hand surgery under general anesthesia.
