Question

Can someone tell me about post operative nausea and vomiting ? Why do some patients get it? How we assess for it in post operative patient? Is there something we can do before surgery to prevent post op nausea and vomiting

Answer 1

Can someone tell me about post operative nausea and vomiting ? Why do some patients get it? How we assess for it in post operative patient? Is there something we can do before surgery to prevent post op nausea and vomiting

Post-operative nausea and vomiting (PONV) is a common complication of surgery and anaesthesia. Despite the fact that it is seldom lethal, PONV is upsetting and connected with patient uneasiness, and disappointment with their peri-agent care.

Patients have detailed that evasion of PONV is of more prominent worry than staying away from post-agent torment. PONV is additionally connected with postponed release from the recuperation room and delayed clinic care and, thusly, builds medicinal services costs.

Bleakness related with PONV incorporates wound dehiscence, parchedness, electrolyte aggravation, obstruction with sustenance and, all the more once in a while, oesophageal crack (Boerhaave disorder) or yearning pneumonitis.

It is important that staff involved in caring for surgical patients understand PONV. A questionnaire-based study in 2000 demonstrated knowledge gaps, with only 60 per cent of ward nurses questioned giving correct responses.

For patients recovering from surgery, the biggest obstacle isn’t pain, sore throat, or having to depend on others for care. It’s postoperative nausea and vomiting (PONV).

A 2001 review found the normal patient would spend more than $100 out of pocket to stay away from postoperative GI trouble.

In spite of analgesic and careful advances, the assessed occurrence of PONV is as high as 30% for generally safe patients and 80% for high-hazard patients. New medication treatments demonstrate guarantee in controlling early PONV—yet about portion of patients may encounter sickness and retching after release from walking medical procedure units. They endure an uneasy recuperation and are bound to require hospitalization.

We attendants can help change that. First of all, we can help limit PONV by recognizing high-chance patients preoperatively and actualizing multimodal treatment dependent on hazard appraisal. In addition, we can train postoperative patients and their families procedures to enable them to adapt to the inconvenience and possibly incapacitating impacts of PONV.

Assessing risk
PONV is more likely to follow certain types of surgeries—for instance, eye surgery; ear, nose, and throat surgery; gynecologic surgery; and gallbladder surgery. Yet the specific surgery doesn’t predict PONV.

Then again, having a PONV chance factor freely predicts an untoward occasion. Solid proof affirms four patient-

related and three anesthesia-related hazard factors. By distinguishing your patient's hazard factors preoperatively and utilizing a straightforward hazard scoring apparatus, you can decide the pattern chance for PONV and help build up a prophylactic administration plan. (See Determining your patient's hazard factors and hazard score in pdf arrange accessible by clicking pdf symbol above.)