Maksillofasiyal cerrahiden sonra gelişen postoperatif bulantı kusma için risk faktörleri

Abstract

Aim: The aim of this study was to determine the risk factors for postoperative nausea and vomiting (PONV) in maxillofacial surgery and contribute to its prevention. Methods: 93 patients (42 female, 51 male) who underwent maxillofacial surgery under general anesthesia were included in the study. No postoperative rescue antiemetic medications were given to patients. One investigator recorded patient-related anesthesia-related and surgery-related variables. The nausea and pain were evaluated postoperatively by means of Visual Analogue Scale. Total number of vomiting in the first 24 hours after surgery and number of days of hospital stay were recorded. Results: The risk factors most associated with postoperative nausea and vomiting were found to be female sex, increased bleeding, submental intubation, prolonged operation time, and postoperative pain. No significant relationship was found between smoking, age, BMI, receiving GA for the first time and PONV in context of maxillofacial surgery. Conclusion: Given its prevalence and significant consequences, prevention of postoperative nausea and vomiting is an important consideration. It may be useful to take preoperative and postoperative precautions in patients with one or more risk factors.