No abstract available.
Postoperative Nausea and Vomiting*

No abstract available.
Postoperative Nausea and Vomiting*

No abstract available.
Postoperative Nausea and Vomiting*

No abstract available.
Postoperative Nausea and Vomiting*

No abstract available.
Ondansetron* ; Postoperative Nausea and Vomiting*

Postoperative nausea and vomiting (PONV) is a long-standing issue, not a new concept in anesthesiology. Despite many studies over the last several decades, PONV remains a significant problem due to its complex mechanism. This review presents a summary of the mechanism underlying the pathogenesis of PONV, focusing on preventive treatment, particularly the use of new drugs. In addition, we discuss the latest meta-analysis results regarding correct clinical use of classic drugs. I also summarize the latest trends of postdischarge nausea and vomiting and the pharmacogenetics, which is attracting a great deal of attention from other medical fields in PONV-related studies. Finally, we discuss the drawbacks of existing studies on PONV and suggest a focus for future investigations.
Anesthesiology ; Nausea ; Pharmacogenetics ; Postoperative Nausea and Vomiting* ; Vomiting

No Abstract available.
Anesthetics* ; Delirium* ; Postoperative Nausea and Vomiting*

Background: Compared to adult patients undergoing upper limb surgery who receive general endotracheal anesthesia (GETA), those who receive peripheral nerve block (PNB) have better postoperative outcomes. Objective: To compare postoperative outcomes of PNB and GETA for orthopedic upper limb surgery among pediatric patients. Design: Cohort study. Setting: Southern Philippines Medical Center, Davao City, from December 2015 to May 2016. Participants: 94 boys and girls, 3 to 18 years old, who received either PNB or GETA for orthopedic upper limb surgery. Main outcome measures: Postoperative pain by visual analogue scale (VAS), need for postoperative rescue opioid doses. Main results: Of the 94 patients in this study, 47 (50%) received PNB, and the rest received GETA prior to surgery. Patients in the two anesthesia groups were comparable at baseline. The PNB group had lower mean VAS scores compared to the GETA group both at the post-anesthesia care unit (0.70 ± 1.52 versus 4.15 ± 1.78; p<0.001) and at the Orthopedics Ward (0.45 ± 1.49 versus 4.13 ± 1.68; p<0.001). The proportion of patients given postoperative rescue opioid doses was significantly lower in the PNB group (6/47; 12.77%) than in the GETA group (21/47; 44.62%; p=0.0006). Conclusion Pediatric patients for orthopedic upper limb surgery who received PNB had less pain postoperatively and needed postoperative rescue opioid doses less frequently compared to those who received GETA.
Anesthesia, Conduction ; Postoperative Nausea and Vomiting

Humans ; Postoperative Nausea and Vomiting ; Research Design

BACKGROUND: Patient satisfaction with anesthesia is an important outcome of hospital care. The aim of this study was to assess the overall level of satisfaction with anesthetic care and to identify predictive factors associated with dissatisfaction. METHODS: Our subjects were adult in-patients with ASA 1-3 who had undergone an elective operation during the previous 12 months. The major measure of subjective outcome was the overall level of satisfaction with anesthetic care on the first day after operation. Patients were asked to rate if they were 'very satisfied', 'somewhat satisfied', 'neutral', 'somewhat dissatisfied' or 'very dissatisfied'. We also measured other predetermined outcomes, such as nausea, vomiting, pain and other complications. RESULTS: At the time of analysis, our database contained information on 3376 patients. 283 (8.4%) patients were 'very satisfied', 1826 (54.1%) were 'somewhat satisfied', 1119 (33.1%) were 'neutral', 133 (3.9%) were 'somewhat dissatisfied' and 15 (0.4%) were 'very dissatisfied' with their anaesthetic care. The number of postanesthetic factors (81.7%) were greater than the number of preanesthetic factors (8.8%) and intranesthetic factors (9.5%) for dissatisfaction with anesthetic care. The causes of dissatisfaction were postoperative pain (43 patients, 29.1%), postoperative nausea and vomiting (17, 11.5%), sore throat (17, 11.5%), waiting a long time before surgery (9, 6.1%), myalgia (6, 4.1%), back pain (6, 4.1%) and other complications. Strong relations were found between patient dissatisfaction and an anesthetic duration of more than 2 hours, moderate or severe postoperative pain, moderate to severe postoperative nausea and vomiting, and other anesthesia-related adverse events. CONCLUSIONS: This study found that patient satisfaction with anesthetic care is high and identified several factors associated with dissatisfaction that may be preventable or better managed.
Adult ; Anesthesia ; Back Pain ; Humans ; Myalgia ; Nausea ; Pain, Postoperative ; Patient Satisfaction ; Pharyngitis ; Postoperative Nausea and Vomiting ; Vomiting