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Article: Nausea and vomiting after phacoemulsification using topical or retrobulbar anesthesia

TitleNausea and vomiting after phacoemulsification using topical or retrobulbar anesthesia
Authors
Issue Date2002
PublisherElsevier Inc. The Journal's web site is located at http://www.elsevier.com/locate/jcrs
Citation
Journal Of Cataract And Refractive Surgery, 2002, v. 28 n. 11, p. 1973-1976 How to Cite?
AbstractPurpose: To determine and compare the incidence of postoperative nausea and vomiting in patients having phacoemulsification under topical or retrobulbar anesthesia. Setting: Department of Ophthalmology, United Christian Hospital, Hong Kong, China. Methods: In this prospective randomized clinical trial, patients scheduled for routine phacoemulsification with posterior chamber intraocular lens implantation under local anesthesia without sedation were randomized to receive topical anesthesia or retrobulbar anesthesia. One hundred seven eyes of 107 Chinese patients were included. There were 49 patients and 58 patients of similar age and sex distribution in the retrobulbar group and topical group, respectively. Postoperative nausea and vomiting (PONV), the need for an antiemetic, and intraocular pressure (IOP) were recorded 1 day after surgery. Also recorded were the patient's preexisting risk factors for PONV (if any), fasting time, duration of surgery, and intraoperative complications or need for supplementary anesthesia or analgesia. Results: The overall incidence of PONV in the entire study group was 3.7% (4 patients). No statistically significant differences in PONV were found between the 2 anesthesia techniques, although 6.1% (3 of 49) in the topical group had nausea compared with 1.7% (1 of 58) in the retrobulbar group. No significant differences were found in the fasting time, duration of surgery, or postoperative IOP between patients who had PONV and those who did not. Conclusions: Topical and retrobulbar anesthesia were associated with a low incidence of PONV in routine phacoemulsification. There were no statistically significant differences in PONV between the 2 anesthesia techniques. No significant correlation was found between the incidence of PONV and the duration of surgery, presence of complications, fasting time, postoperative IOP, or history of PONV or motion sickness.
Persistent Identifierhttp://hdl.handle.net/10722/176393
ISSN
2015 Impact Factor: 3.02
2015 SCImago Journal Rankings: 1.946
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorChan, JCHen_US
dc.contributor.authorLai, JSMen_US
dc.contributor.authorLam, DSCen_US
dc.date.accessioned2012-11-26T09:10:59Z-
dc.date.available2012-11-26T09:10:59Z-
dc.date.issued2002en_US
dc.identifier.citationJournal Of Cataract And Refractive Surgery, 2002, v. 28 n. 11, p. 1973-1976en_US
dc.identifier.issn0886-3350en_US
dc.identifier.urihttp://hdl.handle.net/10722/176393-
dc.description.abstractPurpose: To determine and compare the incidence of postoperative nausea and vomiting in patients having phacoemulsification under topical or retrobulbar anesthesia. Setting: Department of Ophthalmology, United Christian Hospital, Hong Kong, China. Methods: In this prospective randomized clinical trial, patients scheduled for routine phacoemulsification with posterior chamber intraocular lens implantation under local anesthesia without sedation were randomized to receive topical anesthesia or retrobulbar anesthesia. One hundred seven eyes of 107 Chinese patients were included. There were 49 patients and 58 patients of similar age and sex distribution in the retrobulbar group and topical group, respectively. Postoperative nausea and vomiting (PONV), the need for an antiemetic, and intraocular pressure (IOP) were recorded 1 day after surgery. Also recorded were the patient's preexisting risk factors for PONV (if any), fasting time, duration of surgery, and intraoperative complications or need for supplementary anesthesia or analgesia. Results: The overall incidence of PONV in the entire study group was 3.7% (4 patients). No statistically significant differences in PONV were found between the 2 anesthesia techniques, although 6.1% (3 of 49) in the topical group had nausea compared with 1.7% (1 of 58) in the retrobulbar group. No significant differences were found in the fasting time, duration of surgery, or postoperative IOP between patients who had PONV and those who did not. Conclusions: Topical and retrobulbar anesthesia were associated with a low incidence of PONV in routine phacoemulsification. There were no statistically significant differences in PONV between the 2 anesthesia techniques. No significant correlation was found between the incidence of PONV and the duration of surgery, presence of complications, fasting time, postoperative IOP, or history of PONV or motion sickness.en_US
dc.languageengen_US
dc.publisherElsevier Inc. The Journal's web site is located at http://www.elsevier.com/locate/jcrsen_US
dc.relation.ispartofJournal of Cataract and Refractive Surgeryen_US
dc.subject.meshAgeden_US
dc.subject.meshAged, 80 And Overen_US
dc.subject.meshAnesthesia, Local - Methodsen_US
dc.subject.meshCataract Extraction - Methodsen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshIncidenceen_US
dc.subject.meshLenses, Intraocularen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshNausea - Epidemiology - Etiologyen_US
dc.subject.meshPhacoemulsification - Adverse Effectsen_US
dc.subject.meshVomiting - Epidemiology - Etiologyen_US
dc.titleNausea and vomiting after phacoemulsification using topical or retrobulbar anesthesiaen_US
dc.typeArticleen_US
dc.identifier.emailLai, JSM: laism@hku.hken_US
dc.identifier.authorityLai, JSM=rp00295en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1016/S0886-3350(02)01428-1en_US
dc.identifier.pmid12457672-
dc.identifier.scopuseid_2-s2.0-0036853940en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0036853940&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume28en_US
dc.identifier.issue11en_US
dc.identifier.spage1973en_US
dc.identifier.epage1976en_US
dc.identifier.isiWOS:000179271300021-
dc.publisher.placeUnited Statesen_US
dc.identifier.scopusauthoridChan, JCH=26024354100en_US
dc.identifier.scopusauthoridLai, JSM=7401939748en_US
dc.identifier.scopusauthoridLam, DSC=35500200200en_US

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