title: Postoperative nausea and vomiting following orthognathic surgery.
abstract: The purpose of this study was to assess the incidence and risk factors associated with postoperative nausea (PON) and vomiting (POV) after orthognathic surgery. A review of the clinical records of consecutively enrolled subjects (2008-2012) at a single academic institution was conducted between 9/2013 and 3/2014. Data on the occurrence of PON and POV and potential patient-related, intraoperative, and postoperative explanatory factors were extracted from the medical records. Logistic models were used for the presence/absence of postoperative nausea and vomiting separately. Data from 204 subjects were analyzed: 63% were female, 72% Caucasian, and the median age was 19 years. Thirty-three percent had a mandibular osteotomy alone, 27% a maxillary osteotomy alone, and 40% had bimaxillary osteotomies. Sixty-seven percent experienced PON and 27% experienced POV. The most important risk factors for PON in this series were female gender, increased intravenous fluids, and the use of nitrous oxide, and for POV were race, additional procedures, and morphine administration. The incidence of PON and POV following orthognathic surgery in the current cohort of patients, after the introduction of the updated 2007 consensus guidelines for the management of postoperative nausea and vomiting, has not decreased substantially from that reported in 2003-2004.
authors: Department of Orthodontics, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA. Electronic address: Ceib_Phillips@unc.edu.
authors: C
authors: C
authors: Phillips
authors: Department of Oral and Maxillofacial Surgery, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
authors: C D
authors: CD
authors: Brookes
authors: Department of Orthodontics, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
authors: J
authors: J
authors: Rich
authors: Private Practice, Cary, NC, USA.
authors: J
authors: J
authors: Arbon
authors: Department of Oral and Maxillofacial Surgery, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
authors: T A
authors: TA
authors: Turvey
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D009657:North Carolina / Q000453:epidemiology; D057909:Orthognathic Surgery; D020250:Postoperative Nausea and Vomiting / Q000453:epidemiology*; D012307:Risk Factors
keywords: orthognathic surgery; postoperative nausea; postoperative vomiting
references: J Clin Anesth. 1992 Sep-Oct;4(5):355-8
references: 1389187
references: Br J Anaesth. 1993 Oct;71(4):517-22
references: 8260300
references: Anesth Analg. 2014 Jan;118(1):85-113
references: 24356162
references: Br J Anaesth. 2012 Nov;109(5):742-53
references: 23035051
references: J Cardiothorac Vasc Anesth. 2011 Feb;25(1):105-9
references: 20427207
references: Anaesthesia. 2010 Apr;65(4):379-87
references: 20151955
references: J Clin Anesth. 2010 Feb;22(1):13-21
references: 20206846
references: Anesth Analg. 2009 Sep;109(3):768-73
references: 19690245
references: Anesthesiology. 1992 Jul;77(1):162-84
references: 1609990
references: JAMA. 1989 Dec 1;262(21):3008-10
references: 2810644
references: Anesthesiology. 2003 Jan;98(1):46-52
references: 12502978
references: Anesth Analg. 2001 Feb;92(2):393-400
references: 11159239
references: Anesth Analg. 2000 Dec;91(6):1408-14
references: 11093990
references: Br J Anaesth. 2000 Jan;84(1):6-10
references: 10740539
references: Drugs. 2000 Feb;59(2):213-43
references: 10730546
references: Anesth Analg. 2007 Dec;105(6):1615-28, table of contents
references: 18042859
references: J Oral Maxillofac Surg. 2006 Sep;64(9):1385-97
references: 16916674
references: Anesth Analg. 2006 Jun;102(6):1884-98
references: 16717343
references: Anesth Analg. 2005 Nov;101(5):1349-55
references: 16243993
references: Anesthesiology. 1999 Sep;91(3):693-700
references: 10485781
references: Anesth Analg. 1999 Sep;89(3):652-8
references: 10475299
references: Br J Anaesth. 1999 Mar;82(3):379-86
references: 10434820
references: Anesthesiology. 1999 Jul;91(1):109-18
references: 10422935
references: Anaesthesia. 1997 May;52(5):443-9
references: 9165963
references: Can J Anaesth. 1996 Nov;43(11):1121-7
references: 8922767
references: Br J Anaesth. 1996 Mar;76(3):347-51
references: 8785131
references: Anesth Analg. 1994 Jan;78(1):7-16
references: 8267183
references: Anesth Analg. 1995 May;80(5):903-9
references: 7726432