Incidence and predictors of postoperative nausea and vomiting in children undergoing electrophysiology ablation procedures.

Authors

Ye Lee
Andrew Banooni, Beaumont Health
Koichi Yuki
Steven J Staffa
James A DiNardo
Morgan L Brown

Document Type

Article

Publication Date

2-1-2020

Publication Title

Paediatric anaesthesia

Abstract

BACKGROUND: Postoperative nausea and vomiting remains a significant concern for patients undergoing general anesthesia for percutaneous radiofrequency catheter ablation and cryoablation for tachyarrhythmias.

AIM: Our objective was to examine the incidence and risk factors for nausea and vomiting in the recovery room.

METHODS: Children aged > 2 and ≤ 18 years who underwent general anesthesia for a percutaneous radiofrequency catheter ablation or cryoablation for a tachyarrhythmia between January 1, 2013, and January 1, 2016, were retrospectively reviewed. Outcomes included postoperative nausea, vomiting, and a composite of postoperative nausea and vomiting in the recovery room.

RESULTS: We identified 611 patients with a mean age of 13.3 ± 3.9 years, 54.5% male, and a mean length of anesthesia was 3.9 ± 1.0 hours. Vomiting or retching in the postanesthesia care unit occurred in 7.4% of patients and nausea in an additional 12.4%. A composite of nausea and vomiting occurred in 95 patients (15.5%). On multivariable analysis, a subhypnotic propofol infusion (OR 0.45, 95% CI 0.23-0.88, P = .019) and shorter anesthetic duration (OR 0.81 per 30 minutes, 95% CI 0.70-0.94, P = .006) were independently associated with less vomiting in the recovery room. A history of PONV (OR 2.24, 95% CI 1.24-4.05, P = .007) was independently associated with a composite of nausea and vomiting in the recovery room.

CONCLUSIONS: A shorter anesthetic time and a subhypnotic propofol infusion were predictive of a lower rate of postoperative vomiting in patients undergoing general anesthesia for electrophysiologic ablation procedures.

Volume

30

Issue

2

First Page

147

Last Page

152

Recommended Citation

Lee Y, Banooni A, Yuki K, Staffa SJ, DiNardo JA, Brown ML. Incidence and predictors of postoperative nausea and vomiting in children undergoing electrophysiology ablation procedures. Paediatr Anaesth. 2020 Feb;30(2):147-152. doi: 10.1111/pan.13797. Epub 2020 Jan 14. PMID: 31869854.

DOI

10.1111/pan.13797

ISSN

1460-9592

PubMed ID

31869854