TO ESTIMATE THE INCIDENCE OF INTRAOPERATIVE NAUSEA AND VOMITING AND ITS ASSOCIATION WITH CAUSATIVE FACTORS IN LSCS UNDER SPINAL ANAESTHESIA

Abstract

Introduction: Spinal anaesthesia is the injection of local anaesthetic into the subarachnoid space and is anaesthesia of choice for LSCS. Associated hypotension, uterotonic drugs, level of spinal anaesthesia, are the main cause of intraoperative nausea and vomiting which could lead to patient discomfort and protrusion of the abdominal viscera that disturbs the surgical procedure. [4] To study the incidence of intraoperative nausea and vomiting among the pati Objectives- ents undergoing LSCS under spinal anesthesia and its association with causative factors. Material and methods: The cross-sectional observational study was performed for the duration of 18 months at Dr. D. Y. Patil medical college hospital, and research Institute, Kolhapur from April 2021 to September 2022 after explaining the study and taking written consent from the participants. In this study, we use a 40% proportion to calculate the sample size and included 368 consecutive parturients, operated during the study period. The average age of t Result: he participant was 24.98±4.076 years ranging from 19 to 40 years. The signicant ndings of the study were the incidence of IONV was found to be 24.18%. Among the included subjects,25.8%(n=95) of the patients had a history of LSCS. Previous history of IONV was present in 19.6% (n=72) participants. IOH was noted in 41.6% (n=153) of patients whereas it was absent in 58.4%(n= 215) of subjects. The incidences of IONV were found to be present in 17.02%, 62.5%, and 44.64% of the patients who were administered with only oxytocin, oxytocin + carboprost, and oxytocin + methyl ergometrine as a Uterotonic respectively. In n=23 subjects, the level of anaesthesia was T5, among these subjects n=18 subjects had IONV.Out of 344 subjects with T6 anaesthesia level, n=70 subjects had IONV. A subject with a T7/8 level of anaesthesia had IONV. There was 24.18% Conclusionincidence of IONV among 368 subjects. IONV was signicantly associated with the previous history of IONV and predictive factors, IOH, type of UTs used, and level of anaesthesia