Factors Affecting Postoperative Nausea and Vomiting in Interventional Radiology Anesthesia: A Prospective Observational Study
Murat Tümer, Ceren Bayrak, Fatma Gonca Eldem, Emre Ünal, Bora Peynircioğlu, Ayşe Heves Karagöz
VKV
Giriş: Interventional radiology (IR) offers minimally invasive alternatives with reduced risk and faster recovery compared to traditional surgery. However, postoperative nausea and vomiting (PONV) remain common complications (1). This study explores the incidence and predictors of PONV in patients undergoing sedation anesthesia for IR procedures.
Gereç ve Yöntem: Ethical approval was obtained for this study at XXX University Hospital from January to August 2023. Participants included patients aged 18 and older with ASA scores of 1-3, undergoing sedation anesthesia. Exclusions involved those with pre-existing nausea, nausea-inducing medications, or conditions predisposing to nausea. Data collected included demographics, PONV history, comorbidities, smoking status, medications, anesthesia duration, and sedatives used. Nausea and vomiting were assessed using the Abramowitz emetic scoring scale. Predictors of PONV were analyzed using univariate and multivariate logistic regression.
Bulgular: Of 213 patients (112 females, 101 males), 12.2% experienced nausea, and 1.9% experienced vomiting (Table 1). A history of PONV was a significant predictor of recurrence (OR=12.39, p<0.001) (Table 2). Although the use of multiple sedatives was associated with higher nausea rates, this was not statistically significant. Excluding volatile anesthetics and specific patient demographics likely contributed to lower PONV rates than those reported in the literature.
Tartışma ve Sonuç: The study underscores the importance of considering patient history and limiting sedative use to manage PONV in IR anesthesiology effectively. The exclusion of volatile anesthetics and demographic factors significantly influenced the PONV incidence. Findings advocate for personalized sedation strategies and further research into specific sedative combinations (2). Standardizing sedation protocols could enhance patient outcomes in IR settings.
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