Open AccessIntraoperative systemic vascular resistance is associated with postoperative nausea and vomiting after laparoscopic hysterectomy
Author(s) -
Mengdi Qu,
Mengyuan Zhang,
Gongming Wang,
Zhun Wang,
Xu Wang
Publication year - 2020
Publication title -
world journal of clinical cases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.368
H-Index - 10
ISSN - 2307-8960
DOI - 10.12998/wjcc.v8.i20.4816
Subject(s) - medicine , postoperative nausea and vomiting , nausea , perioperative , anesthesia , incidence (geometry) , laparoscopic surgery , hysterectomy , odds ratio , vomiting , prospective cohort study , laparoscopy , surgery , physics , optics
The incidence of postoperative nausea and vomiting (PONV) in patients undergoing laparoscopic hysterectomy is very high compared with other surgeries, even when many prophylactic measures have been taken. However, the pathogenesis of PONV is multifactorial. Female sex, a history of motion sickness or PONV, nonsmokers, and perioperative opioid use are the most closely related factors. Among the multiple risk factors, suboptimal gastrointestinal (GI) perfusion may be attributed to some cases of PONV, and increased systemic vascular resistance (SVR) may lead to GI ischemia. The hypothesis of this research was that SVR is related to PONV.