Alanur ÇİFTÇİ ŞİŞMAN, Hazal İrem ÇİFTÇİ, Necip Fazıl ERDEM

Maksillofasiyal cerrahiden sonra gelişen postoperatif bulantı kusma için risk faktörleri

Amaç: Bu çalışmanın amacı maksillofasiyal cerrahide postoperatif bulantı ve kusma için risk faktörlerini belirlemek ve önlenmesine katkıda bulunmaktır. Yöntemler: Çalışmaya genel anestezi altında maksillofasiyal cerrahi operasyon geçirmiş 93 hasta (42 kadın, 51 erkek) dahil edildi. Hiçbir hastaya postoperatif kurtarıcı antiemetik ilaç verilmedi. Veri toplamak amacıyla hastayla ilgili, anestezi ile ilgili ve cerrahi operasyon ile ilgili değişkenler kaydedildi. Bulantı ve kusmadan en az birinin varlığı postoperatif bulantı ve kusma vakası olarak tanımlandı. Postoperatif bulantı ve ağrı, Görsel Analog Skala ile değerlendirildi. Cerrahi operasyon sonrası ilk 24 saatteki toplam kusma sayısı ve hastanede kalış gün sayısı kaydedildi. Bulgular: Postoperatif bulantı ve kusma ile en fazla ilişkili risk faktörleri kadın cinsiyet, artmış intraoperatif kanama, uzamış operasyon süresi, submental entübasyon ve postoperatif ağrı olarak bulundu. Sonuç: Yaygınlığı ve önemli sonuçları göz önüne alındığında, postoperatif bulantı ve kusmanın önlenmesi önemli bir husustur. Bu bakımdan risk faktörlerinden bir veya daha fazlasına sahip hastalarda ameliyat öncesi ve sonrası önlem alınması faydalı olabilir.

Anahtar Kelimeler:

Anestezi, oral cerrahi, postoperatif komplikasyonlar, postoperatif mide bulantısı ve kusma

Risk factors for postoperative nausea and vomiting following maxillofacial surgery

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.

Keywords:

Anesthesia, oral surgery, postoperative complications, postoperative nausea and vomiting,

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