Incidence of Nausea and Vomiting After Fast-Track Anaesthesia for Heart Surgery

• Published in: Revista brasileira de cirurgia cardiovascular 2018-01, Vol.33 (4), p.371-375
• Main Authors: Hijazi, Emad Mohamed, Edwan, Hayel, Al-Zoubi, Nabil, Radaideh, Hadi
• Format: Article
• Language: English
• Subjects: Adult; Aged; Aged, 80 and over; Anesthesia; Anesthesia, Cardiac Procedures; Anesthesia, Cardiac Procedures - adverse effects; Anesthesiology; Antiemetics - therapeutic use; CARDIAC & CARDIOVASCULAR SYSTEMS; Cardiac Surgical Procedures; Cardiology; Female; Heart surgery; Humans; Incidence; Intensive Care Units - statistics & numerical data; Jordan - epidemiology; Laparoscopy; Length of Stay; Male; Middle Aged; Nausea; Original; Patients; Postoperative Nausea and Vomiting; Postoperative Nausea and Vomiting - drug therapy; Postoperative Nausea and Vomiting - epidemiology; Postoperative Nausea and Vomiting - etiology; Prospective Studies; Risk Factors; Sex Distribution; SURGERY; Time Factors; Vomiting; Young Adult
• ISSN: 1678-9741; 0102-7638; 1678-9741
• DOI: 10.21470/1678-9741-2018-0040

The aim of this study was to evaluate the incidence of postoperative nausea and vomiting (PONV) after fast-track cardiac anesthesia (FTCA) in the first 24-48 hours in the cardiac intensive care unit (CICU) after open-heart surgery, risk factors for PONV and its influence on CICU length of stay. A prospective observational study from January 1, 2013 to the end of December 2015 was performed in the CICU of a university hospital in the north of Jordan and Queen Alia Heart Institute, Amman, Jordan. Three hundred consecutive patients undergoing fast-track cardiac anesthesia in elective cardiac surgery were enrolled in the study. Nausea and vomiting were assessed after tracheal extubation, which was performed within 6-10 hours after surgery and during the first 24-48 hours in the CICU. Metoclopramide 10 mg intravenously was used as the initial antiemetic drug, but ondansetron 4 mg intravenously was also used as second line of management. Nausea was reported in 46 (15.3%) patients, and vomiting in 31 (10.3%). Among females, 38 (33.9%) patients developed nausea and 20 (17.9%) developed vomiting. Among males, 8 (4.3%) patients developed nausea and 11 (5.9%) developed vomiting. PONV are relatively low after FTCA and the prophylactic administration of antiemetic drug before anesthesia or after extubation is not necessary.