Document Detail

Vomiting post tonsillectomy at the University Hospital of the West Indies.
MedLine Citation:
PMID:  15892392     Owner:  NLM     Status:  MEDLINE    
A three-year observational study of patients undergoing tonsillectomy at the University Hospital of the West Indies was conducted to determine the incidence of postoperative vomiting. Data were collected to assess possible risk factors for vomiting as well as possible alleviating agents. Two hundred and fifty-two patients were included in the study and a thirteen per cent incidence of postoperative vomiting was found. This is significantly less than that quoted in other studies (40-73%). Results also showed that steroids significantly reduced the incidence of postoperative vomiting in the study population. Muscle relaxants reversal agents and antibiotics particularly co-trimoxazole and ceftriaxone significantly increased its incidence. Usual antiemetic agents including dimenhydrinate (gravol) and promethazine (phenergan), as well as drugs known to possess antiemetic properties such as midazolam and propofol, lacked any significant protective effect against emesis. Opioid analgesia, inhalational induction and blood loss of greater than 10% of estimated blood volume appeared to increase emesis but failed to achieve statistical significance.
M Scarlett; I Tennant; K Ehikhametalor; M Nelson
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The West Indian medical journal     Volume:  54     ISSN:  0043-3144     ISO Abbreviation:  West Indian Med J     Publication Date:  2005 Jan 
Date Detail:
Created Date:  2005-05-16     Completed Date:  2005-06-16     Revised Date:  2008-03-10    
Medline Journal Info:
Nlm Unique ID:  0417410     Medline TA:  West Indian Med J     Country:  Jamaica    
Other Details:
Languages:  eng     Pagination:  59-64     Citation Subset:  IM    
Department of Surgery, Radiology, Anaesthesia and Intensive Care, The University of the West Indies, Kingston 7, Jamaica, West Indies.
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MeSH Terms
Postoperative Nausea and Vomiting / epidemiology*,  prevention & control
Risk Factors
West Indies

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