Postoperative Nausea and Vomiting (PONV) After Orthognathic Surgery: A Retrospective Study and Literature Review

Silva, Alessandro C.; O’Ryan, Felice; Poor, David

doi:10.1016/j.joms.2006.05.024

Cited by 135 publications

(153 citation statements)

References 66 publications

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“…9 PONV is estimated to occur in 30% of postoperative patients, 9,10 with a higher prevalence seen in high-risk patients. 9 For example, a study 11 of more than 2,700 patients showed that (1) female gender, (2) a history of motion sickness or PONV, (3) nonsmoking status, and (4) use of postoperative opioids were the most predictive risk factors for PONV.…”

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confidence: 99%

“…14 The use of opioids during and after surgery is generally acknowledged as a risk factor for the development of PONV. 7,10,15 Postoperatively, the use of opioids for pain relief can contribute to nausea and vomiting by three different mechanisms, all of which ultimately stimulate the brain's physiologic emetic center in the medulla that mediates nausea and vomiting. First, opioids stimulate the chemoreceptor trigger zone in the brainstem, which in turn directly activates the emetic center of the brain through the release of dopamine and serotonin.…”

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A Review of the Incidence, Causes, Consequences, and Management of Gastrointestinal Effects Associated With Postoperative Opioid Administration

Miaskowski¹

2009

Journal of PeriAnesthesia Nursing

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confidence: 99%

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confidence: 99%

A Review of the Incidence, Causes, Consequences, and Management of Gastrointestinal Effects Associated With Postoperative Opioid Administration

Miaskowski¹

2009

Journal of PeriAnesthesia Nursing

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“…Ayrıca operasyon tipi ve süresine, anestezi indüksiyon tipi ve idame şekline, kullanı-lan kas gevşetici ajana bağlı olabildiği gibi, anesteziye bağlı olmaksızın yaş, cinsiyet, vücut ağırlığı, kullanılan ilaçlar, hormonal değişiklikler, sigara içimi gibi nedenlere de bağlı olabilmektedir. 21,22 Yine çalışmalarda, azot protokside bağlı olarak postoperatif bulantı-kusma oranının yüksek olduğu, sevofluran-remifentanil kombinasyonunda bulantı -kusma oranının daha az görüldüğü bildirilmiştir. 21 Çalışmamızda her iki grupta da aynı standart anestezi indüksiyonu ve idamesi uygulanmış, azot protoksit kullanılmamıştır.…”

Section: Discussionunclassified

Comparison of Postoperative Period in Patients Having a Robotic-Assisted Total Laparoscopic Hysterectomy and Multi-Port Total Laparoscopic Hysterectomy

Alçay¹,

Sargın²,

Fırat³

et al. 2017

Turkiye Klinikleri J Anest Reanim

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Ö ÖZ ZE ET T A Am ma aç ç: : Robot yardımlı ve multiport laparoskopik total histerektomi operasyonu uygulanan iki grup hastanın postoperatif ağrı skorları, total morfin tüketimleri, yan etkiler ve komplikasyonlar açısından karşılaştırılmasıdır. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Bu prospektif çalışmaya ""American Society of Anesthesiology (ASA)" I ve II olmak üzere toplam 60 hasta dâhil edildi ve hastalar otuzar kişilik iki gruba ayrıldı. Cerrahi ekip tarafından hastalara hangi tekniğin uygulanacağına karar verildi. Hastaların postoperatif değerlendirilmeleri operasyona katılmayan bir anestezist tarafından yapıldı. Her iki grup hastaya da aynı standart anestezi protokolü uygulandı. Postoperatif dönemde hasta kontrollü analjezi yöntemi ile morfin başlandı. Operasyon sonrası ilk 24 saat sedasyon ve ağrı skorları, morfin tüketimi, yan etkiler, hasta memnuniyeti ve hastanede kalış süreleri kaydedildi. Postoperatif 3, 7 ve 15. günlerde yüz yüze ya da telefonla iletişime geçilerek hastaların ağrı skorları ve memnuniyet düzeyleri, sorgulandı. B Bu ul lg gu ul la ar r: : Multiport laparoskopik histerektomi uygulanan grupta sadece 24. saat ağrı skorları daha yüksek saptanırken, morfin tüketimleri açısından gruplar arasında anlamlı bir farklılık görülmedi. Demografik veriler, sedasyon skorları, yan etkiler ve hasta memnuniyeti açısından gruplar arasında fark yoktu. S So on nu uç ç: : Literatürde jinekolojik robotik cerrahi uygulamalarının, postoperatif ağrı, komplikasyonlar ve hasta memnuniyeti açısından avantajlı olduğu belirtilse de çalışmamızda her iki yöntemin birbirlerine üstünlükleri olmadığı sonucuna varılmıştır.A An na ah h t ta ar r K Ke e l li i m me e l le er r: : Robotik; laparoskopi; histerektomi; postoperatif ağrı; morfin A AB BS S T TR RA AC CT T O Ob bj je ec ct ti iv ve e: : The objective of our study was to compare postoperative pain score, advers effects, total morphine consumption and complications between two groups patients who had robotic-assisted total laparoscopic hysterectomy and conventional multi-port access total laparoscopic hysterectomy M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : Sixty patients between the class of American Society of Anesthesiology (ASA) I and II were included in this prospective study and divided into two groups. The decision to apply the technique of surgery by the surgical team and the postoperative evaluation of patients was performed by an anesthesiologist that does not participate to operation. All patients received a standardized anesthetic protocol. In the postoperative period, the method of patient-controlled analgesia with morphine was applied. Sedation scores, pain scores, total morphine consumption, side effects, patient satisfaction and duration of hospital stay were recorded for the first 24 hours in the postoperative period. In the postoperative 3, 7 and 15 th days pain score and satisfaction were asked by phone contacting and face-to-face interview. R Re es su ul lt ts s: : The robotic-assisted laparoscopic group had a long...

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“…The most common complication was a neurosensory deficit in the region innervated by the inferior alveolar nerve [14] is a branch of the mandibular nerve, which is itself the third branch (V3) of the trigeminal nerve (cranial nerve V) leads to significant reduction in quality of life for the patient with functional difficulties and psychological impact. The use of high concentrations of volatile anesthetic agents in combination with morphine to achieve hypotensive conditions [15] has been recognized for over 30 years [16,17], but rates of postoperative nausea and vomiting can be high [18,19].…”

Section: Discussionmentioning

confidence: 99%

Reduction of Tempero Mandibular Dislocation: A Case Report

Anumula¹,

Beku²,

Raj³

2017

Physiother Rehabil

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Question: Can Temporal-Mandibular Joint (TMJ) dislocation will be reduced with external support (taping technique)?Participant: A healthy adult with grade 1 TMJ anterior dislocation left side.Intervention: Treatment which Taping to the TMJ and followed with jaw strengthening exercises. Outcome:The primary outcome is reduction in pain and secondary is to increase the mobility. Conclusion:The people with TMJ dislocation with various reasons will be benefitted with this approach in which we can aim to treat the cause at local level, anxiety and distress at the psychological level.

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Postoperative Nausea and Vomiting (PONV) After Orthognathic Surgery: A Retrospective Study and Literature Review

Cited by 135 publications

References 66 publications

A Review of the Incidence, Causes, Consequences, and Management of Gastrointestinal Effects Associated With Postoperative Opioid Administration

A Review of the Incidence, Causes, Consequences, and Management of Gastrointestinal Effects Associated With Postoperative Opioid Administration

Comparison of Postoperative Period in Patients Having a Robotic-Assisted Total Laparoscopic Hysterectomy and Multi-Port Total Laparoscopic Hysterectomy

Reduction of Tempero Mandibular Dislocation: A Case Report

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