Effect of gastric decompression on postoperative vomiting in pediatric patients undergoing strabismus surgery: a randomized controlled study
Background Postoperative vomiting (POV) is one of the most serious complications in pediatric patients undergoing strabismus surgery. This study was conducted to test the hypothesis that gastric decompression (GD) could prevent POV caused by gastric distension after mask ventilation. Methods A total...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Korean Society of Anesthesiologists
2020-01-01
|
| Series: | Anesthesia and Pain Medicine |
| Subjects: | |
| Online Access: | http://www.anesth-pain-med.org/upload/pdf/APM-15-066.pdf |
| _version_ | 1797825432861540352 |
|---|---|
| author | Ki Tae Jung Se Hun Kim Dong Joon Kim Sang Hun Kim Tae Hun An |
| author_facet | Ki Tae Jung Se Hun Kim Dong Joon Kim Sang Hun Kim Tae Hun An |
| author_sort | Ki Tae Jung |
| collection | DOAJ |
| description | Background Postoperative vomiting (POV) is one of the most serious complications in pediatric patients undergoing strabismus surgery. This study was conducted to test the hypothesis that gastric decompression (GD) could prevent POV caused by gastric distension after mask ventilation. Methods A total of 60 pediatric patients (ASA PS I–II, aged one to 10 years) were randomly allocated to two groups; Group D (n = 30) and Group C (n = 30). Induction of anesthesia was performed with careful face mask ventilation with 100% O2 (3 L/min) and sevoflurane 3 vol% to limit airway pressure below 20 cmH2O. Endotracheal intubation was done after confirming adequate neuromuscular blockade. Then, the patients in Group D received GD, while patients in Group C did not. After the surgery, POV was assessed during the emergence from anesthesia in the operating room and postanesthetic care unit (30 min and 60 min). Results During the emergence, POV was significantly decreased in Group D compared to Group C (Group D 3.3% vs. Group C 30.0%, P = 0.006). The odds ratio analysis showed a lower incidence of POV in Group D (odds ratio = 0.080; 95% confidence limit: 0.009–0.685) during the emergence period. There was no significant difference in the incidence of POV in the postanesthetic care unit (Group D 6.7% vs. Group C 4.3% at 30 min, P = 1.000; 0% in both groups at 60 min). Conclusions GD reduced the incidence of POV in pediatric patients undergoing strabismus surgery during emergence. |
| first_indexed | 2024-03-13T10:53:56Z |
| format | Article |
| id | doaj.art-080c5f5a855345fd96459900ee656111 |
| institution | Directory Open Access Journal |
| issn | 1975-5171 2383-7977 |
| language | English |
| last_indexed | 2024-03-13T10:53:56Z |
| publishDate | 2020-01-01 |
| publisher | Korean Society of Anesthesiologists |
| record_format | Article |
| series | Anesthesia and Pain Medicine |
| spelling | doaj.art-080c5f5a855345fd96459900ee6561112023-05-17T05:28:54ZengKorean Society of AnesthesiologistsAnesthesia and Pain Medicine1975-51712383-79772020-01-01151667210.17085/apm.2020.15.1.66982Effect of gastric decompression on postoperative vomiting in pediatric patients undergoing strabismus surgery: a randomized controlled studyKi Tae Jung0Se Hun Kim1Dong Joon Kim2Sang Hun Kim3Tae Hun An4Department of Anesthesiology and Pain Medicine, Chosun University Hospital, Gwangju, KoreaDepartment of Anesthesiology and Pain Medicine, Chosun University Hospital, Gwangju, KoreaDepartment of Anesthesiology and Pain Medicine, Chosun University Hospital, Gwangju, KoreaDepartment of Anesthesiology and Pain Medicine, Chosun University Hospital, Gwangju, KoreaDepartment of Anesthesiology and Pain Medicine, Chosun University Hospital, Gwangju, KoreaBackground Postoperative vomiting (POV) is one of the most serious complications in pediatric patients undergoing strabismus surgery. This study was conducted to test the hypothesis that gastric decompression (GD) could prevent POV caused by gastric distension after mask ventilation. Methods A total of 60 pediatric patients (ASA PS I–II, aged one to 10 years) were randomly allocated to two groups; Group D (n = 30) and Group C (n = 30). Induction of anesthesia was performed with careful face mask ventilation with 100% O2 (3 L/min) and sevoflurane 3 vol% to limit airway pressure below 20 cmH2O. Endotracheal intubation was done after confirming adequate neuromuscular blockade. Then, the patients in Group D received GD, while patients in Group C did not. After the surgery, POV was assessed during the emergence from anesthesia in the operating room and postanesthetic care unit (30 min and 60 min). Results During the emergence, POV was significantly decreased in Group D compared to Group C (Group D 3.3% vs. Group C 30.0%, P = 0.006). The odds ratio analysis showed a lower incidence of POV in Group D (odds ratio = 0.080; 95% confidence limit: 0.009–0.685) during the emergence period. There was no significant difference in the incidence of POV in the postanesthetic care unit (Group D 6.7% vs. Group C 4.3% at 30 min, P = 1.000; 0% in both groups at 60 min). Conclusions GD reduced the incidence of POV in pediatric patients undergoing strabismus surgery during emergence.http://www.anesth-pain-med.org/upload/pdf/APM-15-066.pdfanesthesiadecompressionpediatricsstomachstrabismusvomiting |
| spellingShingle | Ki Tae Jung Se Hun Kim Dong Joon Kim Sang Hun Kim Tae Hun An Effect of gastric decompression on postoperative vomiting in pediatric patients undergoing strabismus surgery: a randomized controlled study Anesthesia and Pain Medicine anesthesia decompression pediatrics stomach strabismus vomiting |
| title | Effect of gastric decompression on postoperative vomiting in pediatric patients undergoing strabismus surgery: a randomized controlled study |
| title_full | Effect of gastric decompression on postoperative vomiting in pediatric patients undergoing strabismus surgery: a randomized controlled study |
| title_fullStr | Effect of gastric decompression on postoperative vomiting in pediatric patients undergoing strabismus surgery: a randomized controlled study |
| title_full_unstemmed | Effect of gastric decompression on postoperative vomiting in pediatric patients undergoing strabismus surgery: a randomized controlled study |
| title_short | Effect of gastric decompression on postoperative vomiting in pediatric patients undergoing strabismus surgery: a randomized controlled study |
| title_sort | effect of gastric decompression on postoperative vomiting in pediatric patients undergoing strabismus surgery a randomized controlled study |
| topic | anesthesia decompression pediatrics stomach strabismus vomiting |
| url | http://www.anesth-pain-med.org/upload/pdf/APM-15-066.pdf |
| work_keys_str_mv | AT kitaejung effectofgastricdecompressiononpostoperativevomitinginpediatricpatientsundergoingstrabismussurgeryarandomizedcontrolledstudy AT sehunkim effectofgastricdecompressiononpostoperativevomitinginpediatricpatientsundergoingstrabismussurgeryarandomizedcontrolledstudy AT dongjoonkim effectofgastricdecompressiononpostoperativevomitinginpediatricpatientsundergoingstrabismussurgeryarandomizedcontrolledstudy AT sanghunkim effectofgastricdecompressiononpostoperativevomitinginpediatricpatientsundergoingstrabismussurgeryarandomizedcontrolledstudy AT taehunan effectofgastricdecompressiononpostoperativevomitinginpediatricpatientsundergoingstrabismussurgeryarandomizedcontrolledstudy |