Risk Factors for Postoperative Nausea and Vomiting after Breast Cancer Surgery under General Anesthesia
- VernacularTitle:乳腺癌患者全麻术后恶心呕吐的危险因素分析
- Author:
Ting LIU
1
;
Dong-ni XU
1
;
Yu-qing CHEN
1
;
Ya-nan LU
1
Author Information
1. Department of Anesthesia， Sun Yat-sen Memorial Hospital， Sun Yat-sen University， Guangzhou 510120， Guangdong Province， China
- Publication Type:Journal Article
- Keywords:
breast cancer;
general anesthesia;
postoperative nausea and vomiting （PONV）;
risk factors
- From:
Journal of Sun Yat-sen University(Medical Sciences)
2021;42(2):302-306
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo explore the risk factors for postoperative nausea and vomiting （PONV） in patients undergoing breast cancer surgery under general anesthesia. MethodsUsing univariate and multivariate logistic regression analyses， we reviewed the medical records and anesthesia history of 530 patients who underwent breast cancer surgery under general anesthesia in order to identify the associated risk factors for their PONV. ResultsAmong the 530 patients， 101 suffered PONV， with an incidence rate of 19.06%. Multivariate analysis revealed the risk factors associated with PONV occurrence were preoperative fasting， anesthesia maintenance type， intraoperative hypotension， use of antiemetics， tramadol and postoperative opioids （P<0.05）. ConclusionThe PONV incidence is significantly higher in those breast cancer patients with prolonged fasting before surgery， inhaled anesthetics， intraoperative hypotension or no use of antiemetics， tramadol and postoperative opioids.
