Factors Associated with Postoperative Nausea and Vomiting in Patients Undergoing an Ambulatory Hand Surgery
- Authors
- Young Hak, R.; Hyun Sik, G.; Jeong Hwan, K.; Kyung Pyo, N.; Young Ho, L.; Goo Hyun, B.
- Issue Date
- Sep-2014
- Publisher
- Korean Orthopaedic Association
- Keywords
- Ambulatory hand surgery; Nausea; Satisfaction; Vomiting
- Citation
- Clinics in Orthopedic Surgery, v.6, no.3, pp.258 - 266
- Journal Title
- Clinics in Orthopedic Surgery
- Volume
- 6
- Number
- 3
- Start Page
- 258
- End Page
- 266
- URI
- https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/13049
- DOI
- 10.4055/cios.2014.6.3.273
- ISSN
- 2005-291X
- 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. © 2014, by The Korean Orthopaedic Association. All rights reserved.
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