The impact of remifentanil on incidence and severity of postoperative nausea and vomiting in a university hospital-based ambulatory surgery center: a retrospective observation study
BackgroundAmbulatory surgery, including short-stay surgery, has become a common choice in clinical practice. For the success of ambulatory surgery, perioperative care with safe and effective anesthesia and postoperative analgesia, which can reduce the occurrence of postoperative nausea and vomiting...
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| Format: | Article |
| Language: | English |
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Korean Society of Anesthesiologists
2013-08-01
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| Series: | Korean Journal of Anesthesiology |
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| Online Access: | http://ekja.org/upload/pdf/kjae-65-142.pdf |
| _version_ | 1818402864543825920 |
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| author | Risa Hara Kiichi Hirota Masami Sato Hiroko Tanabe Tomoko Yazawa Toshie Habara Kazuhiko Fukuda |
| author_facet | Risa Hara Kiichi Hirota Masami Sato Hiroko Tanabe Tomoko Yazawa Toshie Habara Kazuhiko Fukuda |
| author_sort | Risa Hara |
| collection | DOAJ |
| description | BackgroundAmbulatory surgery, including short-stay surgery, has become a common choice in clinical practice. For the success of ambulatory surgery, perioperative care with safe and effective anesthesia and postoperative analgesia, which can reduce the occurrence of postoperative nausea and vomiting (PONV), is essential. The effect of remifentanil on the occurrence and severity of PONV has not been thoroughly examined, particularly, in an ambulatory surgery setting. Here, we investigate whether remifentanil influences the occurrence and severity of PONV in a university hospital-based ambulatory unit.MethodsWe retrospectively analyzed a total of 1,765 cases of patients who had undergone general anesthesia at our ambulatory surgery unit. Parameters, such as occurrence and severity of nausea, vomiting or retching, use of antiemetic drugs, amount of postoperative analgesic and patient satisfaction, were extracted from the records and analyzed between the groups that received and not received remifentanil.ResultsWithin 565 patients of the RF group, 39 patients (6.6%) experienced nausea, 7 patients (1.2%) experienced vomiting or retching, and 10 patients (1.8%) were given antiemetic; in addition, the maximum VAS value for nausea was 12.1 mm. In 1,200 patients of the non RF group, 102 patients (8.5%) experienced nausea, 19 patients (1.6%) experienced vomiting or retching, and 34 patients (2.8%) were given antiemetic, and the maximum VAS value was 13.2 mm. There were no statistically significant differences between the two groups.ConclusionsOur results indicate that remifentanil did not increase the occurrence of PONV in patients within the ambulatory surgery unit. |
| first_indexed | 2024-12-14T08:15:08Z |
| format | Article |
| id | doaj.art-a89701c85e894b408ec41e5bcb8886bd |
| institution | Directory Open Access Journal |
| issn | 2005-6419 2005-7563 |
| language | English |
| last_indexed | 2024-12-14T08:15:08Z |
| publishDate | 2013-08-01 |
| publisher | Korean Society of Anesthesiologists |
| record_format | Article |
| series | Korean Journal of Anesthesiology |
| spelling | doaj.art-a89701c85e894b408ec41e5bcb8886bd2022-12-21T23:09:56ZengKorean Society of AnesthesiologistsKorean Journal of Anesthesiology2005-64192005-75632013-08-0165214214610.4097/kjae.2013.65.2.1427631The impact of remifentanil on incidence and severity of postoperative nausea and vomiting in a university hospital-based ambulatory surgery center: a retrospective observation studyRisa Hara0Kiichi Hirota1Masami Sato2Hiroko Tanabe3Tomoko Yazawa4Toshie Habara5Kazuhiko Fukuda6Department of Anesthesia, Kyoto University Hospital, Kyoto, Japan.Department of Anesthesia, Kyoto University Hospital, Kyoto, Japan.Department of Anesthesia, Kyoto University Hospital, Kyoto, Japan.Department of Anesthesia, Kyoto University Hospital, Kyoto, Japan.Department of Anesthesia, Kyoto University Hospital, Kyoto, Japan.Department of Anesthesia, Kyoto University Hospital, Kyoto, Japan.Department of Anesthesia, Kyoto University Hospital, Kyoto, Japan.BackgroundAmbulatory surgery, including short-stay surgery, has become a common choice in clinical practice. For the success of ambulatory surgery, perioperative care with safe and effective anesthesia and postoperative analgesia, which can reduce the occurrence of postoperative nausea and vomiting (PONV), is essential. The effect of remifentanil on the occurrence and severity of PONV has not been thoroughly examined, particularly, in an ambulatory surgery setting. Here, we investigate whether remifentanil influences the occurrence and severity of PONV in a university hospital-based ambulatory unit.MethodsWe retrospectively analyzed a total of 1,765 cases of patients who had undergone general anesthesia at our ambulatory surgery unit. Parameters, such as occurrence and severity of nausea, vomiting or retching, use of antiemetic drugs, amount of postoperative analgesic and patient satisfaction, were extracted from the records and analyzed between the groups that received and not received remifentanil.ResultsWithin 565 patients of the RF group, 39 patients (6.6%) experienced nausea, 7 patients (1.2%) experienced vomiting or retching, and 10 patients (1.8%) were given antiemetic; in addition, the maximum VAS value for nausea was 12.1 mm. In 1,200 patients of the non RF group, 102 patients (8.5%) experienced nausea, 19 patients (1.6%) experienced vomiting or retching, and 34 patients (2.8%) were given antiemetic, and the maximum VAS value was 13.2 mm. There were no statistically significant differences between the two groups.ConclusionsOur results indicate that remifentanil did not increase the occurrence of PONV in patients within the ambulatory surgery unit.http://ekja.org/upload/pdf/kjae-65-142.pdfambulatory surgerypostoperative nausea and vomitingremifentanil |
| spellingShingle | Risa Hara Kiichi Hirota Masami Sato Hiroko Tanabe Tomoko Yazawa Toshie Habara Kazuhiko Fukuda The impact of remifentanil on incidence and severity of postoperative nausea and vomiting in a university hospital-based ambulatory surgery center: a retrospective observation study Korean Journal of Anesthesiology ambulatory surgery postoperative nausea and vomiting remifentanil |
| title | The impact of remifentanil on incidence and severity of postoperative nausea and vomiting in a university hospital-based ambulatory surgery center: a retrospective observation study |
| title_full | The impact of remifentanil on incidence and severity of postoperative nausea and vomiting in a university hospital-based ambulatory surgery center: a retrospective observation study |
| title_fullStr | The impact of remifentanil on incidence and severity of postoperative nausea and vomiting in a university hospital-based ambulatory surgery center: a retrospective observation study |
| title_full_unstemmed | The impact of remifentanil on incidence and severity of postoperative nausea and vomiting in a university hospital-based ambulatory surgery center: a retrospective observation study |
| title_short | The impact of remifentanil on incidence and severity of postoperative nausea and vomiting in a university hospital-based ambulatory surgery center: a retrospective observation study |
| title_sort | impact of remifentanil on incidence and severity of postoperative nausea and vomiting in a university hospital based ambulatory surgery center a retrospective observation study |
| topic | ambulatory surgery postoperative nausea and vomiting remifentanil |
| url | http://ekja.org/upload/pdf/kjae-65-142.pdf |
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