Vomiting after ophthalmic surgery |
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Authors: | A A VAN DEN BERG A LAMBOURNE N S YAZJI N A LAGHARI |
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Institution: | A. A. Van den Berg, FFARCS, Consultant, Riyadh Armed Forces Hospital, P.O. Box 7897, Riyadh 11159, Kingdom of Saudi Arabia;A. Lambourne, MSc, PhD, FSS, Assistant Professor, Department of Community Medicine, College of Medicine. King Saud University, P.O. Box 2925, Riyadh 11472, Kingdom of Saudi Arabia;N.S. Yazji, MD, DA, Registrar, Department of Anaesthesia;N.A. Laghari, MBBS, DO, Registrar, Department of Ophthalmology, Riyadh Armed Forces Hospital, P.O. Box 7897, Riyadh 11159, Kingdom of Saudi Arabia. |
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Abstract: | The usefulness of intra-operative antiemetics and postoperative oral fluid restriction in the prevention of vomiting following anaesthesia for ophthalmic surgery, was studied in 200 patients. They were allocated into four groups of 50 and given either saline (as control), droperidol, metoclopramide or prochlorperazine. Oral intake was restricted postoperatively in half of the patients of each group. Anaesthesia comprised morphine and atropine premedication and a halothane, nitrous oxide and oxygen spontaneous breathing technique. No significant beneficial effects resulted from intra-operative antiemetics; vomiting incidences of 26% after saline and droperidol, 28% after metoclopramide and 14% after prochlorperazine were observed. Younger patients and females vomited most frequently. Restriction of oral fluids did not decrease the incidence of vomiting but demonstrated that approximately half of those patients who vomit do so with their first postoperative oral intake. Vomiting was observed more frequently after non intra-ocular surgery than after intra-ocular surgery (37% cf. 16%, p less than 0.01) and postoperative analgesics were required by more non intra-ocular patients than by intra-ocular patients (25% cf. 5%, p less than 0.001). Squint patients vomited most frequently (48%) and most frequently required postoperative analgesia (35%). |
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Keywords: | Vomiting: antiemetics nausea Surgery ophthalmic |
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