Abstract
Objectives
Post-operative nausea and vomiting (PONV) is a common and distressing complication
following cardiac surgery. Therefore, our primary objective was to explore the predictors
of severe PONV in the cardiac surgery population.
Methods
A retrospective study was completed on cardiac surgery patients (N = 150). A modified preoperative PONV risk assessment tool was utilized to identify
patients at high and low risk for PONV.
Results
54% of the high-risk group versus 13% of the low-risk group experienced ≥2 nausea
events in the early post-operative period (p < 0.0001). The high-risk group had a uniquely elevated and sustained number of PONV
events post-operatively. History of PONV (p = 0.03) and female gender (p = 0.01) emerged as significant predictors of any nausea event.
Conclusions
A specific PONV risk assessment tool may be useful for predicting those at highest
risk following cardiac surgery. Further research is required to identify strategies
to reduce PONV.
Keywords
Abbreviations:
BMI (body mass index), CABG (coronary artery bypass graft), CSICU (cardiac surgery intensive care unit), GI (gastrointestinal), PONV (post-operative nausea and vomiting)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: August 21, 2014
Accepted:
July 12,
2014
Received in revised form:
July 11,
2014
Received:
April 26,
2014
Identification
Copyright
© 2014 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
