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Postoperative nausea and vomiting in korle bu teaching hospital
Abstract
was carried out to find out the incidence, risk factors and the management of PONV in a tertiary healthcare facility. Design: This was a prospective study. Setting: The study was carried out in Korle Bu Teaching Hospital (KBTH). Subjects and Methods: All patients above the age of 18 years who had surgery including general surgery
were included in the study. Information obtained using a questionnaire included demographic data, the type of anaesthesia, the incidence of PONV and its management. Results: Three hundred and six (306) completed forms out of 322 questionnaires were analyzed. One hundred
and six patients (34%) had episodes of PONV of whom 82 (77.4%) had intra-operative opioids. Of the other factors only age was found to be a risk factor with patients in the 20-49 age group constituting 71.8% (p=
0.007). Eleven out of 93 patients who reported the episode
to a health worker received medication for their PONV. Drugs used included promethazine and antimalaria. Conclusions: Thirty-four percent of patients in the study had PONV indicating that the problem is not uncommon among post-surgical patients in KBTH.
Awareness of the problem should be highlighted and adequate management should be given to all patients. Patients at risk should be identified and appropriate management instituted.
