Indication for surgery and the risk of postoperative nausea and vomiting after craniotomy: a case-control study

Journal of Neurosurgical Anesthesiology
Christine TanDonald E G Griesdale

Abstract

The primary hypothesis of the study is that acoustic neuroma (AN) surgery and microvascular decompression (MVD) of cranial nerves increase the risk of postoperative nausea and vomiting (PONV). We designed a retrospective case-control study matched on age, sex, and year of surgery (≤2005 and >2005). Year of surgery was noted as a potential confounder, because routine antiemetic prophylaxis was strongly encouraged at the study site in 2005. Cases of PONV in the recovery room were matched to controls in a 1:2 manner using a perioperative database. Charts were then reviewed for the following data: American Society of Anesthesiologists grade, smoking status, craniotomy location, craniotomy indication, and type of anesthetic administered. The final analysis included 117 cases that were matched with 185 controls. Patients had a mean age of 50 years (SD=13), and 65% were female. Overall, the majority of craniotomies were supratentorial (70%) and performed for tumor resection (41%). On multivariable analysis, MVD [odds ratio (OR)=6.7; 95% confidence interval (CI), 2.0-22.7; P=0.002], AN (OR=3.3; 95% CI, 1.0-11.0; P=0.05), and epilepsy surgery (OR=2.8; 95% CI, 1.1-7.5; P=0.04) were associated with an increased likelihood of PONV when com...Continue Reading

References

Jan 1, 1994·Anaesthesia·R J Naylor, F C Inall
Jan 1, 1994·Anaesthesia·G N Kenny
Jan 1, 1994·Anesthesia and Analgesia·M M CohenW A Tweed
Jun 1, 1996·British Journal of Neurosurgery·N QuineyF Walters
Dec 1, 1996·Journal of Clinical Epidemiology·P PeduzziA R Feinstein
May 30, 1998·Acta Anaesthesiologica Scandinavica·C C ApfelN Roewer
Jan 30, 1999·British Journal of Anaesthesia·Y FujiiH Toyooka
Mar 17, 1999·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·P H ManninenH el-Beheiry
Jul 28, 1999·Anesthesiology·D R SinclairG Mezei
Jun 27, 2001·Journal of Neurosurgical Anesthesiology·S KathirvelS Shenoy
Feb 28, 2002·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Sébastien PierreJacques Pouymayou
Mar 9, 2002·British Journal of Anaesthesia·C C ApfelN Roewer
Dec 28, 2002·Anesthesiology·Michaela StadlerJean G Boogaerts
Nov 20, 2003·Journal of Anesthesia·Samuel A IrefinZeyd Y Ebrahim
May 7, 2004·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Hugo E CastagniniMichael H Nathanson
Jun 11, 2004·The New England Journal of Medicine·Christian C ApfelUNKNOWN IMPACT Investigators
Sep 7, 2004·British Journal of Anaesthesia·J R Sneyd
Apr 30, 2005·Journal of Palliative Medicine·D B GordonK Ford-Roberts
Nov 29, 2007·Anesthesia and Analgesia·Tong J GanUNKNOWN Society for Ambulatory Anesthesia
Dec 1, 2007·Epidemiology·Jan P VandenbrouckeUNKNOWN STROBE Initiative
Oct 30, 2010·Journal of Neurosurgery·Björn LatzKristin Engelhard

❮ Previous
Next ❯

Citations

Mar 3, 2015·Critical Care Nursing Clinics of North America·Christin Brooks
Jun 6, 2019·Zhurnal voprosy neĭrokhirurgii imeni N. N. Burdenko·M I KlyukinA Yu Lubnin
Sep 3, 2013·Current Opinion in Anaesthesiology·Federico BilottaGiovanni Rosa
Feb 26, 2013·Journal of Neurosurgical Anesthesiology·Jeffrey J Pasternak, William L Lanier
Mar 7, 2014·Journal of Neurosurgical Anesthesiology·Jeffrey J Pasternak, William L Lanier

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.