The Relationship of Risk Factors With The Incidence Of Postoperative Nausea And Vomiting In Patients who underwent surgery with General Anesthesia at Rsi Siti Rahmah
DOI:
https://doi.org/10.35335/midwifery.v10i4.739Keywords:
Anesthesia, Surgery, Postoperative Nausea, Vomiting (PONV)Abstract
General anesthesia is a medical procedure that aims to relieve pain, lose consciousness, and be predictable. General anesthesia has side effects in the form of PONV which cancause dehydration, electrolyte imbalance, re-open wounds, pulmonary aspiration and delay in discharge from the hospital. To know the characteristics of general anesthesia patients, to know the degree of PONV, and to know the relationship between patient, intraoperative, and postoperative risk factors who experience PONV in patients undergoing surgery under anesthesia general.The type of this research used is analytic observational with a cross-sectional approach. The affordable population in this study were all general anesthesia patients at Siti Rahmah Hospital Padang with 65 samples using a consecutive sampling technique. Analysis of univariate and bivariate data presented in the form of frequency and percentage distributions, data processing using the Kolgomorov Smirnov test statistical test. General anesthesia patients aged 26-35 years (24.6%), female (56.9%), no smoking history (89.2%), surgical oncology (47.7%), 60 minutes duration (67.7%), mild pain (38.5%), opioid use (92.3%). Grade 0 PONV (87.6%). The relationship of risk factors for patients experiencing PONV with age p = 0.288, gender p = 0.997, motion sickness p = 0.443, smoking history p = 0.958. Relationship of intraoperative risk factors for PONV with type of surgery p = 1,000, duration of surgery p = 0,978. The relationship between postoperative risk factors for experiencing PONV with opioid use p = 1,000, pain degree p = 1,000. Most general anesthesia patients were aged 26-35 years, most gender was female, most motion history was no history, most smoking history ie no history, the most type of surgery is oncology, the most duration is 60 minutes, the most opioid use is using, the highest degree of pain is mild.
Downloads
References
Aftab S, Khan AB, Raza G. The Assessment of Risk Factors for Postoperative Nausea and Vomiting. 2008;18(3):137-141.
Al-Ghanem S, Ahmad M, Qudaisat I, et al. Predictors of nausea and vomiting risk factors and its relation to anesthesia in a teaching hospital. Trends Med. 2019;19(1).
Anggrahini E, Regular PDK, Nursing J, Health P, Health K. On the Incidence of Post Operative Nausea and Vomiting in General Anesthesia Patients at the Hospital. Published online 2017.
Apfel CC, Roewer N, Korttila K. How to study postoperative nausea and vomiting. Acta Anesthesiol Scand. 2002.
Apfel CC, Heidrich FM, Jukar-Rao S, et al. Evidence-based analysis of risk factors for postoperative nausea and vomiting .Br J Anaesth. 2012;109(5):742-753. doi:10.1093/bja/aes276.
Apfel CC, Heidrich FM, Jalota L, et al. Evidence-based analysis of risk factors for postoperative.Br J Anaesth. 2012;109(5):742-753. doi:10.1093/bja/aes276.
Apipan B, Rummasak D, Wongsrichat N. Postoperative nausea and vomiting after general anesthesia for oral and maxillofacial surgery.J Dent Anesth Pain Med. 2016;16(4):273. doi:10.17245/jdapm.2016.16.4.273
Arisdiani T, Asyrofi A. Description of Nausea, Vomiting and Stress in Postoperative Patients.Community Publ Nurs. Published online 2019.
Cao X, White PF, Ma H. An update on the management of postoperative nausea and vomiting.J Anesth. Published online 2017. doi:10.1007/s00540-017-2363-x.
Chatterjee S, Rudra A, Sengupta S. Current Concepts in the Management of Postoperative Nausea and Vomiting.Anesthesiol Res Pract. 2011;2011:1-10. doi:10.1155/2011/748031.
Collins USA. Postoperative nausea and vomiting in adults: Implications for critical care. Crit Care Nurse. 2011;31(6):36-45.
David. The incidence of postoperative nausea and vomiting in patients undergoing general anesthesia at Haji Adam Malik General Hospital Medan in October 2016.USU.ac.id. Published online 2017. https://www.usu.ac.id/id/fakultas.html.
David. Incidence of Post-Operative Nausea and Vomitting in Patients Under General Anesthesia at Haji Adam Malik Hospital Medan in October 2016.North Sumatra University Repos. Published online 2016. http://repositori.usu.ac.id/handle/123456789/19856.
Dawson, J., & Jones M.The Principles of Anesthesia. Surgery.; 2016.
Effendy MN. STUDY OF ANTI-NAUSEA AND VOMITING MEDICINE USE IN POST OPERATION PATIENTS (The study was conducted at the Integrated Surgery Center of Dr. Soetomo Hospital Surabaya) MUHAMMAD.Unair Repos. Published online 2016. http://repository.unair.ac.id/55218.
Elvir-Lazo OL, White PF, Yumul R, Cruz Eng H. Management strategies for the treatment and prevention of postoperative/postdischarge nausea and vomiting: an updated review.F1000Research. 2020;9:983. doi:10.12688/f1000research.21832.1.
Fadila TW.Analysis of Postoperative Nausea and Vomiting Risk Factors in Patients Undergoing.; 2020.
Farhat K, Waheed A, Pasha AK, Iqbal J, Mansoor Q. Effect of smoking on nausea, vomiting and pain in the post-operative period. J Postgrad Med Inst. 2014;28(3):277- 281.
Ferlina F. Description of Postoperative Nausea and Vomiting (PONV) in Patients Under General Anesthesia at Dr. RSUP. M. Djamil Padang. Published online 2019.
Fitrah BA. Nausea ManagementPostoperative Vomiting in Primary Health Services. Contin Med Educ. 2014;41(6):407-411. http://103.13.36.125/index.php/CDK/article/view/1126.
Gan TJ, Belani KG, Bergese S, et al. Fourth Consensus Guidelines for the Management of Postoperative Nausea and Vomiting.Anesth Analg. 2020;131(2):411-448. doi:10.1213/ANE.0000000000004833.
Haliloglu M, Omur D, Yuksel TC, Alan C, Hanc V. Anesthesia & Clinical Post Operative Effects.J Anesth Clin Res. 2012;7(2):2-6. doi:10.4172/2155-6148.
Hendro RT, Pradian E, Indriasari I. Using the Apfel Score as a Predictor for Postoperative Nausea and Vomiting at Dr. RSUP. Hasan Sadikin Bandung.J Perioper Anesthesia. Published online 2018. doi:10.15851/jap.v6n2.1425.
Horn CC, Wallisch WJ, Homanics GE, Williams JP. Pathophysiological and neurochemical mechanisms of postoperative nausea and vomiting.Eur J Pharmacol. 2014;722:55-66. doi:10.1016/j.ejphar.2013.10.037.
Ikhsan M, Yunafri A. An overview of the incidence of Post Operative Nausea and Vomiting (PONV) in patients undergoing inhalation anesthesia with isoflurane in October - December 2018 at RSU Putri Hijau Kindergarten. II KESDAM I/BB.J Ilm SIMANTEK. 2020;4(4):35-39.
Ikhsan, Muhammad ; Yunafri A.Overview of Post Operative Nausea and Vomitting (PONV) Incidence in Patients Undergoing Inhalation Anesthesia with Isoflurane in October - December 2018 at the White Green General Hospital in Kindergarten. II KESDAM I/BB. Angew Chemie Int Ed 6(11), 951–952. 2021;4(4):2013-2015.
Imurina T, Mraovic B, Skitarelić N, Andabaka T, Sonicki Z. Influence of the menstrual cycle on the incidence of nausea and vomiting after laparoscopic gynecological surgery: a pilot study.J Clin Anesth. 2012;24(3):185-192. doi:10.1016/j.jclinane.2011.07.011.
In Z, Gan TJ, Bergese SD. Prevention and Treatment of Postoperative Nausea and Vomiting (PONV): A Review of Current Recommendations and Emerging Therapies.Ther Clin Risk Manager. 2020;16:1305-1317. doi:10.2147/TCRM.S256234.
Karnana R, Ismah MN. Overview of Postoperative Nausea and Vomiting (PONV) in Patients Post-Curettage Dilatation with General Anesthesia at RSIA B in 2019.Muhammadiyah J Midwifery. 2021;2(1):10. doi:10.24853/myjm.2.1.10-20.
Kim SH, Shin Y, Oh YJ, Lee JR. Risk Assessment of Postoperative Nausea and Vomiting in the Intravenous Patient-Controlled Analgesia Environment: Predictive Values of the Apfel's Simplified Risk Score for Identification of High-Risk Patients. 2013;54(5):1273-1281.
Lichtor JL. Nausea and vomiting after surgery: It is not just postoperative. Curr Opin Anaesthesiol. 2012;25(6):673-679.
Lim H, Doo AR, Son JS, et al. Effects of intraoperative single bolus fentanyl administration and remifentanil infusion on postoperative nausea and vomiting.Korean J Anesthesiol. 2016;69(1):51. doi:10.4097/kjae.2016.69.1.51.
Matthews C. A Review of Nausea and Vomiting in the Anaesthetic and Post Anaesthetic Environment.J Perioper Pract. 2017;27(10):224-228. doi:10.1177/175045891702701004.
Millizia A, Sayuti M, Nendes TP, Rizaldy MB. Factors Associated with the Incidence of Postoperative Nausea and Vomiting in General Anesthesia Patients at Cut Meutia General Hospital, Aceh Utara.AVERROUS J Doctor and Health Malikussaleh. 2021;7(2):13-23.
Obrink E, Jildenstål P, Oddby E, Jakobsson JG. Post-operative nausea and vomiting : Update on predicting the probability and ways to minimize its occurrence , with focus on ambulatory surgery. 2015;15:100-106. doi:10.1016/j.ijsu.2015.01.024.
John F. Butterworth; David C Mackey; John D. Wasnick.Clinical Anesthesiology. 6th ed. McGraw-Hill; 2018.
Khan KS, Hayes I, Buggy DJ. Pharmacology of anesthetic agents I: intravenous anesthetic agents.Contin Educ Anaesth Crit Care Pain. 2014;14(3):100-105. doi:10.1093/bjaceaccp/mkt039.
Khan KS, Hayes I, Buggy DJ. Pharmacology of anesthetic agents II: Inhalation anesthetic agents.Contin Educ Anaesthesia, Crit Care Pain. 2014;14(3):106-111. doi:10.1093/bjaceaccp/mkt038.
Mayhew D, Mendonca V, Murthy BVS. A review of ASA physical status - historical perspectives and modern developments.Anesthesia. 2019;74(3):373-379. doi:10.1111/anae.14569.
Nurwaningsih F. Comparison of the effectiveness of ondansetron and dexamethasone premedications in preventing postoperative nausea and vomiting.Thesis of Faculty of Medicine Univ Sebel march. 2009;14(26):15-23.
Pramono, Ardi. Anesthesia. Jakarta EGC. 2015.
Pierre S, Whelan R. Nausea and vomiting after surgery.Contin Educ Anaesth Crit Care Pain. 2013;13(1):28-32. doi:10.1093/bjaceaccp/mks046.
Sjamsuhidajat, R. Textbook of Surgery. Jakarta. Ed.4. EGC. 2017.
Shaikh S, Nagarekha D, Hegade G,Marutheesh M. Postoperative nausea and vomiting: A simple yet complex problem. Anesth Essays Res. 2016;10(3):388. doi:10.4103/0259-1162.179310.
Sholihah A, S KM, Husairi A. entitled an overview of the incidence of Post Operative Nausea and Vomiting (PONV) at Ulin Hospital Banjarmasin May-July 2014.Berk Kedokt. 2015;11(1):119-129.
Sholihah A, Sikumbang KM, Husairi A. Overview of Post Operative Nausea and Vomiting (PONV) events at Ulin Hospital Banjarmasin May - July 2014.Berk Kedokt Unlam. 2015;11(1):121.
Sudjito MH, Mulyata, Setyawati T. Incidence of Post-Laparatomy Nausea Vomiting (PONV) after Granisetron Administration Compared after Ondansetron - Dexamethasone Combination Administration.cdk. 2018;45(3):172-175.
Tampubolon, O E. Nizar, R. Anesthesiology. Jakarta. Section of Anesthesiology and Intensive Therapy, Faculty of Medicine, University of Indonesia. 1989.pdf.
Veiga-Gil L, Pueyo J, López-Olaondo L. Nauseas y vómitos postoperatorios: physiopathologia, factores de riesgo, profilaxis y tratamiento.Rev Esp Anesthesiol Reanim. 2017;64(4):223-232. doi:10.1016/j.redar.2016.10.001.
Veerasingam KV. Opioids For Acute Pain After Surgery And Trauma.Faculty of Medicine, Univ Udayana. 2017;(1302006289):2-32.
Yanhil SI, Kambey BI, Tambajong HF. Comparison of ondansetron 4 mg iv and dexamethasone 5 mg iv in preventing nausea and vomiting in laparotomy patients under general anesthesia.e-ClinicC. 2016;4(2). doi:10.35790/ecl.4.2.2016.14559.
Woodall NM, Cook TM. National census of airway management techniques used for anesthesia in the UK: first phase of the Fourth National Audit Project at the Royal College of Anaesthetists.Br J Anaesth. 2011;106(2):266-271. doi:10.1093/bja/aeq339.
