ROLE OF PROPHYLACTIC ANTIEMETICS IN ORAL AND MAXILLOFACIAL SURGERY

Authors

  • Saba Hanif
  • Riaz Ahmed Warraich
  • Shammas Raza Khan
  • Nabeela Riaz
  • Ali Jamal Mehdi
  • Asad Aizaz Chatha

DOI:

https://doi.org/10.21649/akemu.v20i3.673

Abstract

Abstract

Objective:  To find out the occurrence of postopera-tive nausea and vomiting (PONV) in oral and maxil-lofacial surgery done under general anaesthesia and to evaluate the purpose of using prophylactic antiemetic drugs.

Hanif S.1

Demonstrator / Senior Resident

Dept of Oral and Maxillofacial Surgery

KEMU / Mayo Hospital, Lahore

Warraich R.A.2

Head of Department of Oral and Maxillofacial Surgery

KEMU / Mayo Hospital, Lahore

Khan S.R.3

Dept of Oral and Maxillofacial Surgery

KEMU / Mayo Hospital, Lahore

Riaz N.4

Associate Professor Dept of Oral and Maxillofacial Surgery

KEMU / Mayo Hospital, Lahore

Mehdi A.J.5

Dept of Oral and Maxillofacial Surgery

KEMU / Mayo Hospital Lahore

Chatha A.A.6

Assistant Professor Department of Oral and Maxillofacial Surgery, KEMU / Mayo Hospital, Lahore

 

Design:  Observational study.

Place and Duration of the Study:  Oral and Maxil-lofacial Department, KEMU / Mayo Hospital Lahore, from September 2011 to June 2012.

Method:  The number of patients who were operated in oral and maxillofacial surgery ward irrespective of age and gender for this study were 240. Risk factors related with PONV including gender, anesthetic drug used, surgical procedure, approach used, total time of surgery and postoperative use of opioids were investi-gated. A "wait and watch" scheme was followed in patients with complaint of PONV. Antiemetics to be given in those cases where more than 2 episodes of vomiting took place.

Results:  It was found out that only 11 patients experi-enced from nausea and vomiting in post operative period. A notable relation was seen between PONV and female population, total time of surgery, anesthetic drug, surgery of tumor and temporomandibular joint. The surgical approach and opioids in postoperative period for PONV were found to be insignificant.

Conclusion:  PONV is not a significant finding in oral and maxillofacial surgery. We find out that there is no logic for the use of prophylactic antiemetic drugs in maxillofacial surgery.

Key words:  Post operative nausea and vomiting, Oral and Maxillofacial surgery, Antiemetics.

How to Cite

Hanif, S., Warraich, R. A., Khan, S. R., Riaz, N., Mehdi, A. J., & Chatha, A. A. (1). ROLE OF PROPHYLACTIC ANTIEMETICS IN ORAL AND MAXILLOFACIAL SURGERY. Annals of King Edward Medical University, 20(3), 265. https://doi.org/10.21649/akemu.v20i3.673

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