Which Clinical Anesthesia Outcomes Are Important to Avoid? The Perspective of Patients

Macario, Alex; Weinger, Matthew B.; Carney, Stacie; Kim, Ann

doi:10.1097/00000539-199909000-00022

Cited by 439 publications

(307 citation statements)

References 16 publications

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“…PONV is unpleasant for the patient and has negative effects on the patient's satisfaction. Indeed when patients are asked about their preferences for the immediate postoperative period, the first choice is no nausea or vomiting, this is above freedom from pain or any other postoperative complications [2,6]. Major medical complications caused by aspiration, ruptured sutures, liquid and electrolyteimbalance in children and deaths from 'Boerhaave syndrome' although described in the literature are relatively rare [7].…”

Section: Introductionmentioning

confidence: 99%

Premedication with H1 and H2 blocking agents reduces the incidence of postoperative nausea and vomiting

2004

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Section: Introductionmentioning

confidence: 99%

Premedication with H1 and H2 blocking agents reduces the incidence of postoperative nausea and vomiting

2004

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“…Diese für Pa tienten extrem belastende Komplikation [76] kann zudem durch ungeplante statio näre Aufnahmen Kosten steigern [31]. Ein Zusammenhang mit dem präoperativen Nüchternheitsregime liegt nahe.…”

Section: Nüchternheit Und üBelkeit/erbrechenunclassified

Präoperative Nüchternheit 2008

Weiß

Jacob

2008

Anaesthesist

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Preoperative fasting aims at minimizing the risk of pulmonary aspiration. However, perioperative safety does not directly increase with the duration of total abstinence from food and liquids. The traditional principle "nil per os from midnight on", is based on insufficient data, overinterpretation and expert opinion. In fact, the total perioperative risk of a clinically relevant regurgitation of gastric content is low. Clear liquids are not stored within the stomach for a long time and in the healthy, a fasting period of 6 h allows the total passage of solid food. Identifying those patients with an increased risk of perioperative aspiration is still difficult. In particular, the impact of pregnancy, adipositas and diabetes, trauma, smoking, opioids and renal insufficiency has not been clarified. This lack of knowledge is reflected by national and international guidelines concerning preoperative fasting, which mention the "patient at risk" without defining it exactly. Abstention from clear liquids 2 h before and of solids 6 h before induction of anesthesia, is becoming increasingly more accepted. Feeding babies with breast milk appears to be tolerated 4 h before anesthesiological procedures.

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“…Postoperative nausea and vomiting (PONV) are among the most common complaints reported in the immediate postoperative period by surgical patients [1,2] and observed by physicians and nursing staff [3,4].…”

Section: Introductionmentioning

confidence: 99%

Influence of histamine release on postoperative vomiting (POV) following gynaecological laparoscopic surgery

et al. 2004

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A high incidence of plasma histamine release was demonstrated in most but not all patients with POV. The probability of POV with histamine release (0.5) was higher than without histamine release (0.3), thus histamine release was shown to be one of the contributory determinants for POV in this clinical study. Thus, patients at risk for POV may benefit from a H1 + H2-receptor antagonists prophylaxis alone or in combination with other antiemetic strategies.

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Which Clinical Anesthesia Outcomes Are Important to Avoid? The Perspective of Patients

Cited by 439 publications

References 16 publications

Premedication with H1 and H2 blocking agents reduces the incidence of postoperative nausea and vomiting

Premedication with H1 and H2 blocking agents reduces the incidence of postoperative nausea and vomiting

Präoperative Nüchternheit 2008

Influence of histamine release on postoperative vomiting (POV) following gynaecological laparoscopic surgery

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