Browsing by Subject "postoperative nausea and vomiting"

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    Subcutaneous emphysema following severe vomiting after emerging from general anesthesia
    (2004) Toprak V.; Keles G.T.; Kaygisiz Z.; Tok D.
    Postoperative nausea and vomiting-related subcutaneous emphysema is an unexpected complication, especially after uneventful surgery and anesthesia. Here we report and discuss two cases of subcutaneous emphysema following severe retching and vomiting which resolved spontaneously after several days.
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    Evaluation of parents' anxiety concerning the post-operative period following pediatric ambulatory surgery; [Pediyatrik Günübirlik Cerrahide Ebeveynlerin Postoperatif Dönem Hakkindaki Endişelerinin Deǧerlendirilmesi]
    (2005) Tezcan Keleş G.; Toprak V.; Topaloǧlu K.; Ok D.
    In the present study, we aimed to determine what anxieties parents have concerning the postoperative period following pediatric ambulatory surgery. After obtaining approval from the Institutional Ethics Committee and the parents' informed consent, 100 parents were evaluated with a questionnaire. Parents scored their anxiety regarding potential postoperative problems that children may encounter: such as pain, nausea, vomiting, disorientation, shivering, sore throat, drowsiness, and thirst. Parents assessed each item on a 1 to 10 point scale. A score of "1" represented the "least upsetting condition" and "10" represented "most upsetting condition". Pain was scored with the highest point (7.32 ± 3.09) by the parents. Parents with higher education showed greater concern regarding items related to thirst (5.31 ± 3.96 point, p<0.02) and disorientation (4.51 ± 3.83 points, p<0.008). In the others section, unsuccessful surgery (4.38 ± 4.70 point) and unnecessary intervention (3.43 ± 4.40 point) were taken part. As a conclusion, parents must be informed sufficiently about potential problems and anesthesiologist and surgeon cooperation during the preoperative evaluation period is essential.
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    Postoperative beneficial effects of esmolol in treated hypertensive patients undergoing laparoscopic cholecystectomy
    (Oxford University Press, 2008) Ozturk T.; Kaya H.; Aran G.; Aksun M.; Savaci S.
    Background: In an attempt to decrease haemodynamic instability and early postoperative complications such as nausea, vomiting, and pain, esmolol was added to the routine alfentanil infusion of patients with treated hypertension undergoing laparoscopic cholecystectomy. Methods: Forty consecutive ASA class II patients with controlled hypertension about to undergo laparoscopic cholecystectomy were randomized into two groups: an esmolol group (Group E, n=20) was given a 1 mg kg-1 bolus of esmolol and a placebo group (Group P, n=20) was given an identical volume of Ringer's lactate. The rate of esmolol infusion was adjusted to keep the heart rate between 65 and 75 beats min-1 and was 5-10 μg kg-1 min-1 throughout the procedure. After operation, patients reported their nausea using a four-point scale. Results: Esmolol had an opioid-sparing effect intraoperatively (P=0.001). Postoperative requirements for antiemetics were significantly less in the esmolol group, with no antiemetics given to eight patients. In the placebo group, however, all patients required at least one dose of antiemetic (P=0.007). The frequency of PONV did not correlate to the amounts of alfentanil, propofol, postoperative antiemetics consumed, or to female gender, non-smoking status, and history of PONV or motion sickness. Postoperative analgesic consumption in Group E was significantly lower than in Group P (P=0.012). Conclusions: Esmolol had an opioid-sparing effect in the intraoperative and immediate postoperative period in hypertensive patients undergoing laparoscopy. When combined with alfentanil, it was more effective than placebo in decreasing early PONV. © The Board of Management and Trustees of the British Journal of Anaesthesia 2007. All rights reserved.