Prevention and treatment of postoperative nausea and vomiting (PONV) in strabismus correction surgeries: an integrative literature review
DOI:
https://doi.org/10.37497/JMRReview.v3i00.64Keywords:
Nausea, Vomiting, Postoperative, Anesthesia, Strabismus, Therapeutic interventionsAbstract
Background: Postoperative nausea and vomiting (PONV) are frequent complications following surgical interventions, affecting patient comfort and recovery. With a prevalence of between 30% and 50%, these symptoms are particularly relevant in ophthalmic procedures, such as the correction of strabismus, due to the delicacy of ocular manipulation.
Aim: The aim of this study was to carry out an integrative literature review on the effectiveness of interventions to prevent PONV in patients undergoing strabismus surgery, in order to identify the most effective and safe approaches to optimize anesthetic care.
Method: The review was based on papers published in the last ten years, extracted from the PUBMED database. The search strategy used was as follows: postoperative[title] AND nausea[title] AND vomiting[title] AND strabismus[title]. The question that guided the research was: “what interventions are effective in preventing and managing PONV in strabismus surgeries, especially in pediatric populations?” The process followed six stages: formulation of the question, identification of the studies, data collection, critical analysis, discussion of the findings and drafting of the abstract.
Results: The search resulted in the selection of 10 papers, 9 of which met the established criteria.
Conclusion: The interventions analyzed, especially the combinations of antiemetics and fluid administration, proved to be effective in reducing the incidence of PONV. The importance of an evidence-based approach to improving postoperative recovery in children is highlighted, as well as the need for more rigorous research to improve clinical protocols.
References
AKSOY, M. et al. Effect of intravenous preoperative versus postoperative paracetamol on postoperative nausea and vomiting in patients undergoing strabismus surgery: A prospective randomized study. Agri: Agri (Algoloji) Dernegi’nin Yayin Organidir = The Journal of the Turkish Society of Algology, v. 30, n. 1, p. 1–7, jan. 2018.
ALI, U. et al. A 4 year quality improvement initiative reducing post-operative nausea and vomiting in children undergoing strabismus surgery at a quaternary paediatric hospital. Paediatric Anaesthesia, v. 29, n. 7, p. 690–697, jul. 2019.
JOO, J. et al. Ramosetron versus ondansetron for postoperative nausea and vomiting in strabismus surgery patients. BMC anesthesiology, v. 16, n. 1, p. 41, 22 jul. 2016.
KRATT, K. M. et al. Postoperative Nausea and Vomiting and Phase I Post-anesthesia Recovery After Strabismus Operations. Journal of Pediatric Ophthalmology and Strabismus, v. 56, n. 3, p. 151–156, 22 maio 2019.
LI, J. et al. Retrospective analysis of risk factors of postoperative nausea and vomiting in patients undergoing ambulatory strabismus surgery via general anaesthesia. Indian Journal of Anaesthesia, v. 64, n. 5, p. 375–382, maio 2020a.
LI, S. et al. Effect of dexmedetomidine on prevention of postoperative nausea and vomiting in pediatric strabismus surgery: a randomized controlled study. BMC Ophthalmology, v. 20, n. 1, p. 86, dez. 2020b.
NOGUERA, H.; ACHA, J. C.; JIMENEZ, M. A. Medical and surgical treatment of primary divergent strabismus. Archivos de la Sociedad Española de Oftalmología (English Edition), v. 89, n. 11, p. 431–438, 2014.
SAYED, J. A.; F RIAD, M. A.; M ALI, M. O. Comparison of dexamethasone or intravenous fluids or combination of both on postoperative nausea, vomiting and pain in pediatric strabismus surgery. Journal of Clinical Anesthesia, v. 34, p. 136–142, nov. 2016.
SHAIKH, S. I. et al. Postoperative nausea and vomiting: A simple yet complex problem. Anesthesia Essays and Researches, v. 10, n. 3, p. 388–396, 2016.
SHARMA, P. et al. What’s new for us in strabismus? Indian journal of ophthalmology, v. 65, n. 3, p. 184–190, 2017.
SINHA, R. et al. Granisetron versus Granisetron-Dexamethasone for Prevention of Postoperative Nausea and Vomiting in Pediatric Strabismus Surgery: A Randomized Double-Blind Trial. Anesthesiology Research and Practice, v. 2016, p. 4281719, 2016.
SOUZA, M. T. DE; SILVA, M. D. DA; CARVALHO, R. DE. Revisão integrativa: o que é e como fazer. Einstein (São Paulo), v. 8, p. 102–106, 2010.
SUN, J. et al. Penehyclidine mitigates postoperative nausea and vomiting and intraoperative oculocardiac reflex in patients undergoing strabismus surgery: a prospective, randomized, double-blind comparison. BMC anesthesiology, v. 21, n. 1, p. 49, 13 fev. 2021.
TATEOSIAN, V. S.; CHAMPAGNE, K.; GAN, T. J. What is new in the battle against postoperative nausea and vomiting? Best Practice & Research Clinical Anaesthesiology, v. 32, n. 2, p. 137–148, 2018.
VEIGA-GIL, L.; PUEYO, J.; LÓPEZ-OLAONDO, L. Postoperative nausea and vomiting: physiopathology, risk factors, prophylaxis and treatment. Revista Española de Anestesiología y Reanimación (English Edition), v. 64, n. 4, p. 223–232, 2017.
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution 4.0 International License.
Autores que publicam nesta revista concordam com os seguintes termos:
O(s) autor(es) autoriza(m) a publicação do texto na da revista;
O(s) autor(es) garantem que a contribuição é original e inédita e que não está em processo de avaliação em outra(s) revista(s);
A revista não se responsabiliza pelas opiniões, idéias e conceitos emitidos nos textos, por serem de inteira responsabilidade de seu(s) autor(es);
É reservado aos editores o direito de proceder a ajustes textuais e de adequação às normas da publicação.
Autores mantém os direitos autorais e concedem à revista o direito de primeira publicação, com o trabalho simultaneamente licenciado sob a Licença Creative Commons Attribution que permite o compartilhamento do trabalho com reconhecimento da autoria e publicação inicial nesta revista.
Autores têm autorização para assumir contratos adicionais separadamente, para distribuição não-exclusiva da versão do trabalho publicada nesta revista (ex.: publicar em repositório institucional ou como capítulo de livro), com reconhecimento de autoria e publicação inicial nesta revista.
Autores têm permissão e são estimulados a publicar e distribuir seu trabalho online (ex.: em repositórios institucionais ou na sua página pessoal) a qualquer ponto antes ou durante o processo editorial, já que isso pode gerar alterações produtivas, bem como aumentar o impacto e a citação do trabalho publicado (Veja O Efeito do Acesso Livre) em http://opcit.eprints.org/oacitation-biblio.html
