Abstract:
Abstract
Background: Postoperative nausea and vomiting is still viewed as minor problems, even though
they are one of the major causes of morbidity in pediatric surgical patients like surgical site
bleeding, pulmonary aspiration of gastric contents, fluid and electrolyte disturbances and
dehydration, delayed hospital discharge, unexpected hospital admission and decreased patient
satisfaction and cost. Surgical, anesthetic related factors as well as patient factors are major
contributing factors for PONV.
Objective: The objective of this study was to assess Incidence of post-operative nausea and
vomiting and factors associated with vomiting after pediatrics ophthalmic procedure under GA at
university of Gondar compressive and specialized hospital.
Methods: Institutional based prospective observational study was conducted to determine
Incidence of post-operative nausea and vomiting and factors associated with vomiting after
ophthalmic pediatrics procedure under general anesthesia at university of Gondar compressive and
specialized hospital from February 5th to May 25th, 2019. Data were checked on daily basis for
completeness and were entered to Epidata and analyzed by statistical package for social sciences
(SPSS) version 20 software. Descriptive statistics were used to summarize patients’ socio
demographic data. Bivariate and multivariate logistic regressions were conducted to see the
existence of the association between dependent and independent variables
Result: The overall incidence of post-operative vomiting in pediatrics ophthalmic procedure
under GA at university of Gondar compressive and specialized hospital was 19.9 %( CI=14.5-
25.3%). Factors associated with post-operative vomiting were age>3years, motion sickness and
duration of surgery >30min.
Conclusion and recommendation: The incidence of post-operative vomiting after
pediatrics ophthalmic procedure was 19.9% at university of Gondar comprehensive and
specialized hospital. Age>3years, motion sickness and duration of surgery >30 min were
significantly associated with post-operative vomiting. Therefore, we suggest that incorporation of
these risk factors during risk stratification and risk reduction mechanisms are vital for better
reduction of POV.
Key words: post operation, nausea, vomiting, pediatric ophthalmic
