Vol. 6, Issue 4 (2019)
The magnitude of postoperative nausea and vomiting: A descriptive study in private clinics, Pabna, Bangladesh
Author(s): Dr. Md. Abdus Salam, Dr. Md. Monirul Islam, Dr. Habibun Nabi Md. Shafiquzzaman, Dr. Mohammad Mostafizur Rahman, Dr. ATM Nurul Kabir
Abstract: Post-operative Nausea and Vomiting still remains a challenge, despite having clinical perception and evidence that its severity has diminished. We conducted a descriptive study in post the operative units in several private clinics, Pabna, Bangladesh. Our aim was to find out the magnitude of postoperative nausea and vomiting in patients aged 3–79 years during the period from October 2016 to September 2017. Nausea, emetic episodes and the need for anti-emetic medication were recorded for 24 h postoperatively. In the post-operative unit, nausea and vomiting were 27.25% and 13.25%, respectively. Over the whole 24-h period, these figures were 65.75% and 35%, respectively and severe nausea was experienced by 7.88% in an average. The highest rate of emetic sequelae was observed in gynaecological & obstetrics patients; 28% of the patients who received general anaesthesia and 72% of the patients who received regional anaesthesia reported nausea. The most important predictive factors associated with an increased risk for nausea and vomiting were female gender, a previous history of postoperative sickness, a longer duration of surgery and a history of motion sickness. Even though, nausea and vomiting problem is neglected in developing world like Bangladesh but it’s indeed a big problem for the patients and can hindered normal treatment procedures. Researchers should give more attention to this issue for reducing the burden of treatment facilities in our country.