Abstract | BACKGROUND:
Postoperative nausea and vomiting ( PONV) following sleeve gastrectomy (SG) is a common occurrence. The effect of specific interventions in PONV prevention within enhanced recovery pathways remains unclear. The aim of this study was to evaluate the impact of a comprehensive approach for the prevention of PONV on patient outcomes and hospital resource utilization. METHODS: RESULTS: Eighty-three patients completed the study (41 in the intervention and 42 in the control group). Eighty-nine percent of patients were discharged home on the first postoperative day. Four patients in the control group and none in the intervention group experienced a PONV-related delay in discharge (9.5% vs 0, p = 0.119). Intervention patients reported significantly lower PONV scores at all in-hospital time points examined (p = 0.0392 for verbal scores and p < 0.0001 for Rhodes Index) and significantly higher self-rated quality of recovery at 24 h (Quality of Recovery-15 instrument, p < 0.05). CONCLUSIONS: A multilevel approach to PONV leads to significantly lower severity of PONV and improved self-reported quality of recovery, compared with control. PONV-related readmissions, ED visits, and discharge delays were uncommon within the overall enhanced recovery cohort.
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Authors | Konstantinos Spaniolas, Lizhou Nie, Daryn Moller, Talar Tatarian, Anthony Hesketh, Jie Yang, Salvatore Docimo, Andrew Bates, Tong J Gan, Aurora Pryor |
Journal | Obesity surgery
(Obes Surg)
Vol. 30
Issue 11
Pg. 4250-4257
(11 2020)
ISSN: 1708-0428 [Electronic] United States |
PMID | 32583300
(Publication Type: Journal Article, Randomized Controlled Trial, Research Support, Non-U.S. Gov't)
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Chemical References |
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Topics |
- Antiemetics
- Double-Blind Method
- Gastrectomy
(adverse effects)
- Humans
- Obesity, Morbid
(surgery)
- Ondansetron
- Prospective Studies
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