<p>Risk Factors Associated with Postoperative Discomfort After Ambulatory Strabismus Surgery Under General Anesthesia</p>

Abstract

The aim of this study was to evaluate postoperative discomfort in patients undergoing ambulatory strabismus under general anesthesia, and to identify risk factors associated with the discomfort. Patients and Methods: A cross-sectional study was conducted among 210 consecutive patients undergoing ambulatory strabismus under general anesthesia. Postoperative discomfort including nausea, vomiting, dizziness, and headache was recorded and quantified. Univariable and multivariable logistic regression were performed to detect the risk factors associated with postoperative discomfort. Results: Of 210 participants, 199 (94.76%) patients experienced mild discomfort after ambulatory strabismus surgery under general anesthesia, and 31 (14.76%), 11 (5.24%), 60 (28.57%), 23 (10.95%) patients suffered from nausea, vomiting, dizziness, and headache, respectively. A multivariate analysis indicated that female sex, the surgery on inferior rectus, and the surgery on inferior oblique were the independent risk factors for postoperative vomiting while, mild anxiety was the independent risk factor for postoperative dizziness. Conclusion: Patients undergoing ambulatory strabismus surgery tended to experience postoperative nausea and dizziness. Female sex, the surgery on inferior rectus, mild anxiety, and the surgery on inferior oblique were the independent predictors of postoperative discomfort.

Evaluation of postoperative discomfort after strabismus surgery under general anesthesia in children: a prospective observational study

“…Li et al [30] showed that the duration of surgery was an independent risk factor for PONV, with a cut-off point of 29.5 minutes, sensitivity of 1.00, and speci city of 0.64. In addition, Huang et al [4] reported that female sex, inferior rectus surgery, and inferior oblique surgery were independent risk factors for adult postoperative vomiting. Similar to previous studies, we found that a history of PONV or motion sickness and IOAT were risk factors for PONV in children who underwent strabismus surgery.…”

“…Ye' study [2] on postoperative pain and discomfort in patients who underwent oculoplastic surgery under general anesthesia showed that anxiety was a risk factor for both postoperative pain and discomfort, while smoking history and prior surgery on the operative eye may be associated with postoperative pain. Similarly, Huang et al [4] reported that 94.76% of adult patients experienced mild discomfort after ambulatory strabismus surgery under general anesthesia; independent predictors of postoperative discomfort included female sex, inferior rectus surgery, mild anxiety, and inferior oblique surgery.…”

Analysis of influencing factors and construction of prediction model for postoperative nausea and vomiting in patients undergoing laparoscopic sleeve gastrectomy: a single-center retrospective cohort study

“…This is primarily attributed to the disparity in hormone levels between men and women, particularly the elevated levels of serum sex hormones, progesterone, and estrogen in female patients. Hormonal uctuations post-surgery are substantial, leading to symptoms such as nausea, vomiting, and irritability in some female patients [14].…”

Risk factors of strabismus in children in madagascar

“…The association was significant for a value of p<0.05. [6,8,[10][11][12]. In various studies, complications of prematurity such as sepsis, intraventricular hemorrhage, and necrotizing enterocolitis have been suggested to be responsible for retinopathy of prematurity (ROP) and cortical visual dysfunction [3].…”