Document Detail

Surgeon's experience as a factor for emetic sequelae after middle ear surgery.
MedLine Citation:
PMID:  9809084     Owner:  NLM     Status:  MEDLINE    
PURPOSE: To test the hypothesis that an experienced surgeon is associated with less postoperative nausea and vomiting (PONV). METHODS: A post hoc analysis was done on the data of 167 patients from 3 randomized studies on the prevention of PONV, with transdermal scopolamine, ondansetron and propofol, in middle ear surgery under general anaesthesia. RESULTS: The patients in the residents' group suffered more from PONV (69% vs. 42%, P < 0.01) and from retching or vomiting (52% vs. 23%, P < 0.001) than those in the specialists' group. The proportion of patients needing droperidol was also higher in the residents' group (66% vs. 27%, P < 0.001). The durations of anaesthesia and surgery seemed to correlate positively with PONV. In matched-pair analysis, residentship was confirmed as a risk factor for emetic symptoms. In the residents' group, prophylaxis of PONV resulted in a decrease in retching and vomiting from 71% to 29% (P < 0.01), and in patients needing droperidol from 87% to 46% (P < 0.01). CONCLUSION: The patients operated by residents need more aggressive prophylaxis for PONV than those operated by specialists in middle ear surgery.
P Honkavaara; I Pyykkö
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Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Acta anaesthesiologica Scandinavica     Volume:  42     ISSN:  0001-5172     ISO Abbreviation:  Acta Anaesthesiol Scand     Publication Date:  1998 Oct 
Date Detail:
Created Date:  1999-01-14     Completed Date:  1999-01-14     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370270     Medline TA:  Acta Anaesthesiol Scand     Country:  DENMARK    
Other Details:
Languages:  eng     Pagination:  1033-7     Citation Subset:  IM    
Department of Anaesthesia, Helsinki University Central Hospital, Finland.
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MeSH Terms
Ear, Middle / surgery*
Internship and Residency
Middle Aged
Nausea / prevention & control*
Postoperative Complications / prevention & control*
Vomiting / prevention & control*

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