Risk factors for severe postoperative nausea and vomiting in a randomized trial of nitrous oxide-based vs nitrous oxide-free anaesthesia  K. Leslie, P.S.

Slides:



Advertisements
Similar presentations
C. C. Apfel, F. M. Heidrich, S Jukar-Rao, L Jalota, C Hornuss, R. P
Advertisements

Chewing gum for the treatment of postoperative nausea and vomiting: a pilot randomized controlled trial  J.N. Darvall, M Handscombe, K Leslie  British.
E.M. Wesselink, T.H. Kappen, H.M. Torn, A.J.C. Slooter, W.A. van Klei 
Acupuncture and related techniques for postoperative pain: a systematic review of randomized controlled trials  Y. Sun, T.J. Gan, J.W. Dubose, A.S. Habib 
P. Diemunsch, G.P. Joshi, J.-F. Brichant 
Non-opioid analgesics in adults after major surgery: systematic review with network meta-analysis of randomized trials  V Martinez, H Beloeil, E Marret,
Bispectral index-guided induction of general anaesthesia in patients undergoing major abdominal surgery using propofol or etomidate: a double-blind, randomized,
Supplemental oxygen and surgical site infection: getting to the truth
Type of anaesthesia and patient quality of recovery: a randomized trial comparing propofol–remifentanil total i.v. anaesthesia with desflurane anaesthesia 
International normalized ratio and prothrombin time values before the removal of a lumbar plexus catheter in patients receiving warfarin after total hip.
Effect of combining tramadol and morphine in adult surgical patients: a systematic review and meta-analysis of randomized trials  V. Martinez, L. Guichard,
Cost-effectiveness of a systematic e-assessed follow-up of postoperative recovery after day surgery: a multicentre randomized trial  K. Dahlberg, A. Philipsson,
Gabapentin prophylaxis for postoperative nausea and vomiting in abdominal surgeries: a quantitative analysis of evidence from randomized controlled clinical.
Objective model using only gender, age and medication list predicts in-hospital morbidity after elective surgery  J.D. Blitz, K.S. Mackersey, J.C. Miller,
G Turner, M.J. Goldacre, T Lambert, J.W. Sear 
A comparison of the analgesic efficacy and side-effects of paravertebral vs epidural blockade for thoracotomy—a systematic review and meta-analysis of.
Efficacy of perioperative dexmedetomidine on postoperative delirium: systematic review and meta-analysis with trial sequential analysis of randomised.
Monitoring depth of anaesthesia in a randomized trial decreases the rate of postoperative delirium but not postoperative cognitive dysfunction  F.M. Radtke,
M.S. Evans, C. Lysakowski, M.R. Tramèr  British Journal of Anaesthesia 
Dexamethasone alone vs in combination with transcutaneous electrical acupoint stimulation or tropisetron for prevention of postoperative nausea and vomiting.
Nitrous oxide exposure does not seem to be associated with increased mortality, stroke, and myocardial infarction: a non-randomized subgroup analysis.
Intraoperative dexamethasone does not increase the risk of postoperative wound infection: a propensity score-matched post hoc analysis of the ENIGMA-II.
Effect of prophylactic 5-HT3 receptor antagonists on pruritus induced by neuraxial opioids: a quantitative systematic review†  M.-P. Bonnet, E. Marret,
A. K. Staehr-Rye, C. S. Meyhoff, F. T. Scheffenbichler, M. F
R Wengritzky, T Mettho, P.S. Myles, J Burke, A Kakos 
Antifibrinolytics in cardiac surgical patients receiving aspirin: a systematic review and meta-analysis  D.R. McIlroy, P.S. Myles, L.E. Phillips, J.A.
B. F. Gornall, P. S. Myles, C. L. Smith, J. A. Burke, K Leslie, M. J
Does motor block related to long-acting brachial plexus block cause patient dissatisfaction after minor wrist and hand surgery? A randomized observer-blinded.
Postoperative pain after hip fracture is procedure specific
Global patient outcomes after elective surgery: prospective cohort study in 27 low-, middle- and high-income countries    British Journal of Anaesthesia 
Evaluation of a single preoperative dose of pregabalin for attenuation of postoperative pain after laparoscopic cholecystectomy  A. Agarwal, S. Gautam,
Preoperative supplementation with fibrinogen concentrate in cardiac surgery: A randomized controlled study  A. Jeppsson, K. Waldén, C. Roman-Emanuel,
Pain after orthopaedic surgery: differences in patient reported outcomes in the United States vs internationally. An observational study from the PAIN.
Goal-directed haemodynamic therapy and gastrointestinal complications in major surgery: a meta-analysis of randomized controlled trials  M.T. Giglio,
Single-dose aprepitant vs ondansetron for the prevention of postoperative nausea and vomiting: a randomized, double-blind Phase III trial in patients.
C.C. Apfel, P. Kranke, C.-A. Greim, N. Roewer 
Intraoperative thoracic epidural anaesthesia attenuates stress-induced immunosuppression in patients undergoing major abdominal surgery†  O. Ahlers, I.
I. Merino, X. Borrat, J. Balust, S. Delgado, A. M. Lacy, J. Vidal, G
I.V. APD421 (amisulpride) prevents postoperative nausea and vomiting: a randomized, double-blind, placebo-controlled, multicentre trial  P. Kranke, L.
Premedication with pregabalin 75 or 150 mg with ibuprofen to control pain after day- case gynaecological laparoscopic surgery  R. Jokela, J. Ahonen, M.
Psychology of pain British Journal of Anaesthesia
Psoas compartment block for lower extremity surgery: a meta-analysis
Epidural analgesia compared with peripheral nerve blockade after major knee surgery: a systematic review and meta-analysis of randomized trials  S.J.
Population pharmacokinetics of the two enantiomers of tramadol and O-demethyl tramadol after surgery in children  F. Bressolle, A. Rochette, S. Khier,
Postoperative pulmonary complications, pulmonary and systemic inflammatory responses after lung resection surgery with prolonged one-lung ventilation.
G.S. Nair, A. Abrishami, J. Lermitte, F. Chung 
Comparative study of topical anaesthesia with lidocaine 2% vs levobupivacaine 0.75% in cataract surgery  S.A. Fernández, E. Dios, J.C. Diz  British Journal.
Efficacy and adverse effects of ketamine as an additive for paediatric caudal anaesthesia: a quantitative systematic review of randomized controlled trials† 
H. Tønnesen, P.R. Nielsen, J.B. Lauritzen, A.M. Møller 
Preoperative evaluation of patients with, or at risk of, coronary artery disease undergoing non-cardiac surgery  P.-G. Chassot, A. Delabays, D.R. Spahn 
Troponin elevations after non-cardiac, non-vascular surgery are predictive of major adverse cardiac events and mortality: a systematic review and meta-analysis 
Effects of tracheal tube orientation on the success of intubation through an intubating laryngeal mask airway: study in Mallampati class 3 or 4 patients 
Is age a predictor of mortality in a UK medical high dependency unit?
GlideScope® video laryngoscope: a randomized clinical trial in 203 paediatric patients†   J.-T. Kim, H.-S. Na, J.-Y. Bae, D.-W. Kim, H.-S. Kim, C.S. Kim,
Does anaesthesia with nitrous oxide affect mortality or cardiovascular morbidity? A systematic review with meta-analysis and trial sequential analysis 
G.J. Mar, M.J. Barrington, B.R. McGuirk  British Journal of Anaesthesia 
Thoracic paravertebral blocks in abdominal surgery – a systematic review of randomized controlled trials  K. El-Boghdadly, C. Madjdpour, K.J. Chin  British.
Chewing gum for the treatment of postoperative nausea and vomiting: a pilot randomized controlled trial  J.N. Darvall, M Handscombe, K Leslie  British.
Comparison of predictive models for postoperative nausea and vomiting
Translational medicine: cancer pain mechanisms and management
Development and validation of a preoperative scoring system to predict 30 day mortality in patients undergoing hip fracture surgery  M.J. Maxwell, C.G.
Automated reminders decrease postoperative nausea and vomiting incidence in a general surgical population  F.O. Kooij, N. Vos, P. Siebenga, T. Klok, M.W.
T. -F. Lin, Y. -C. Yeh, F. -S. Lin, Y. -P. Wang, C. -J. Lin, W. -Z
U.H. Frey, P. Scharmann, C. Löhlein, J. Peters 
Skin conductance monitoring compared with bispectral index® monitoring to assess emergence from general anaesthesia using sevoflurane and remifentanil 
Circadian distribution of sleep phases after major abdominal surgery
M. J. Sheen, S. -T. Ho, C. -H. Lee, Y. -C. Tsung, F. -L. Chang, S. -T
Nottingham Hip Fracture Score as a predictor of one year mortality in patients undergoing surgical repair of fractured neck of femur  M.D. Wiles, C.G.
Benefit and risk of intrathecal morphine without local anaesthetic in patients undergoing major surgery: meta-analysis of randomized trials  N. Meylan,
Effects of acetaminophen on morphine side-effects and consumption after major surgery: meta-analysis of randomized controlled trials†   C. Remy, E. Marret,
Presentation transcript:

Risk factors for severe postoperative nausea and vomiting in a randomized trial of nitrous oxide-based vs nitrous oxide-free anaesthesia  K. Leslie, P.S. Myles, M.T.V. Chan, M.J. Paech, P. Peyton, A. Forbes, D. McKenzie  British Journal of Anaesthesia  Volume 101, Issue 4, Pages 498-505 (October 2008) DOI: 10.1093/bja/aen230 Copyright © 2008 British Journal of Anaesthesia Terms and Conditions

Fig 1 Multivariate odds ratios (95% CIs) for PONV for preoperative and intraoperative predictors. British Journal of Anaesthesia 2008 101, 498-505DOI: (10.1093/bja/aen230) Copyright © 2008 British Journal of Anaesthesia Terms and Conditions

Fig 2 Recursive partitioning/CART analysis of factors predicting severe PONV. BIS monitoring and N2O were entered into CART first, because a significant interaction between them was identified. CART splits the variable ‘duration of anaesthesia’ at 3.32 h. Odds ratios (OR) (95% CIs and P-values) are reported from analysis that were adjusted for age <55 yr and abdominal surgery (factors that CART did not include in the model). The subgroup of patients with the lowest risk of PONV (BIS-monitored and N2O-free) served as the reference group. British Journal of Anaesthesia 2008 101, 498-505DOI: (10.1093/bja/aen230) Copyright © 2008 British Journal of Anaesthesia Terms and Conditions