Incidence and nursing of postoperative nausea and vomiting following neurosurgery in the postanesthesia care unit

Abstract

Objective To analyze incidence and nursing strategies of postoperative nausea and vomiting after different neurosurgery in the postanesthesia care unit (PACU).Methods 5 078 adult patients who had undergone neurosurgery enrolled into PACU were retrospectively investigated. The incidence and nursing strategies of postoperative nausea and vomiting were analyzed.Results The overall incidence of PONV following neurosurgery was 15.7％ (798 cases).The incidence of PONV in patients undergoing craniopharyngioma was 28.4％ ( 25/88),ventricular tumor 26.7％ (35/131 ),infratentorial craniotomy 24.2％ ( 157/650),intracranial aneurysm and arteriovenous malformation 20.8％ (87/4 i 8 ),supratentorial tumor 19.3％ (297/1 535 ),epilepsy 15.8％ ( 16/101 ),transsphenoidal surgery of pituitary tumor 8.8％ ( 88/991 ),spinal cord tumor 8.4％(52/619) and others 7.5％ respectively.Conclusions The overall incidence of PONV in PACU following neurosurgery was approximately 16％.These results indicate that the incidence of PONV following neurosurgery is different and craniopharyngioma,ventricular tumor and posterior fossa tumor are high risk for PONV.Nursing strategies for the prevention of PONV following neurosurgery are required. Key words: Postoperative nausea and vomiting; Neurosurgery procedures; Anesthesia recovery period; Nursing