Risk factors for postoperative nausea and vomiting after endoscopic retrograde cholangio-pancreatography under total intravenous anesthesia
- VernacularTitle:全凭静脉麻醉下经内镜逆行胰胆管造影术后恶心呕吐的危险因素
- Author:
Kai YOU
;
Yan LUO
- Keywords:
Endoscopic retrograde cholangio-pancreatography;
Postoperative nausea and vomiting;
Risk factors
- From:
The Journal of Clinical Anesthesiology
2017;33(4):317-320
- CountryChina
- Language:Chinese
-
Abstract:
Objective To determine the independent risk factors for postoperative nausea and vomiting (PONV) after endoscopic retrograde cholangio-pancreatography (ERCP) under total intravenous anesthesia.Methods Ninety patients,47 males and 43 females,aged 18 years old or more,falling into ASA physical status Ⅰ-Ⅲ,undergoing ERCP under total intravenous anesthesia from July 18,2016 to August 31,2016 in Ruijin Hospital were included in our study.General information and intraoperative situation of patients were collected.The incidence of PONV within 24 h was recorded.A multivariate Logistic regression model was performed to analyze the independent risk factors of PONV after ERCP under total intravenous anesthesia.Results In total,90 patients were included in this study,with 33 patients (36.7%) suffering PONV.Logistic analyses showed that female (OR=3.73,95%CI 1.36-10.27),history of PONV/motion sickness(OR=4.39,95%CI 1.40-13.76),and serum-amylase greater than 3 times the normal value (OR=5.22,95%CI 1.30-20.95) were the independent risk factors for PONV after ERCP under total intravenous anesthesia.Conclusion Female,history of PONV/motion sickness,and serum-amylase greater than 3 times the normal value were the independent risk factors for PONV after ERCP under total intravenous anesthesia.
