Prophylactic Antiemetics in Oral and Maxillofacial Surgery—A Requiem?

摘要: Purpose To determine the incidence of postoperative nausea and vomiting (PONV) after oral maxillofacial surgical procedures to evaluate rationale behind prophylactic antiemetic medications. Materials Methods A total 167 patients, irrespective age gender, undergoing under general anesthesia/dissociative anesthesia, were included. Risk factors associated with PONV such as type anesthetic agent used, nature procedure, approach duration surgery use opioids assessed. “watch wait” policy was adopted in all cases recorded gastric lavage (GL) be performed patients more than 2 episodes 6-hour period. The efficacy an intervention also Antiemetic medications given only those which did not respond favorably GL. χ2 test using SPSS software (Chicago, IL) statistical significance. Results Of included, 19 experienced PONV. GL 3 showed cessation emesis this intervention. No administered. significant association observed between female surgery, specific oncologic temporomandibular joint surgeries. role period on found insignificant. Conclusions Information regarding remains scanty. We conclude that there does appear a for administration drugs procedures. watch-and-wait simple may provide relief. are considered case non-responders intractable