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Post-operative nausea and vomiting following orbital hydroxyapatite implant surgery

Published online by Cambridge University Press:  16 August 2006

H. Waterman ,
R. Slater ,
B. Leatherbarrow ,
C. Waterman  and
V. Hillier
H. Waterman
Affiliation:
School of Nursing, Midwifery and Health Visiting, Coupland III, University of Manchester, Manchester, UK Medical Computation, University of Manchester, Manchester, UK
R. Slater
Affiliation:
Department of Anaesthetics, Central Manchester Health Care Trust, Manchester, UK
B. Leatherbarrow
Affiliation:
Manchester Royal Eye Hospital, Manchester, UK
C. Waterman
Affiliation:
School of Nursing, Midwifery and Health Visiting, Coupland III, University of Manchester, Manchester, UK
V. Hillier
Affiliation:
Medical Computation, University of Manchester, Manchester, UK
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Abstract

Fifty-five consecutive patients undergoing a short-stay ophthalmic operation (orbital hydroxyapatite implantation) were recruited over 1 year to assess the frequency and duration of post-operative nausea and vomiting over 7 days. The incidence of nausea and vomiting in hospital was recorded. Patients scored their nausea and vomiting four times daily at home. By the end of the first day after surgery, 31 (75%) patients had experienced mild to severe nausea. Eighteen (38%) patients became nauseated on five or more occasions. Nineteen (35%) patients had vomited by the end of the first day after surgery and, over 7 days, 24 (43%) patients had vomited on one or more occasion. Three patients reported that they had vomited during the journey home. Vomiting was not correlated with pain or a past history of post-operative nausea and vomiting. However, there was a statistically significant correlation between nausea and pain. The high incidence of nausea and vomiting observed in this study appears to provide additional evidence of an oculo-emetic reflex. The timing of discharge and appropriate patient education are discussed.

Keywords

anaestheticsophthalmologyshort staypost-operative nausea and vomitinghydroxyapatite
Type
Original Article
Information
European Journal of Anaesthesiology , Volume 15 , Issue 5 , September 1998 , pp. 590 - 594
Copyright
1998 European Society of Anaesthesiology

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