medigraphic.com
ISSN 1561-3046 (Electronic)

2019, Number 4

<< Back Next >>

Rev Cub Med Mil 2019; 48 (4)

Combined therapy and prophylaxis in postoperative nausea and vomiting in laparoscopic surgery

Veitía WEC, Martínez LL, Amable DT, Martínez RM, Morales MI

Language: Spanish
References: 47
Page: 855-874
PDF size: 269.07 Kb.


ABSTRACT

Introduction: Postoperative nausea and vomiting represent a frequent problem for both the patient and the anesthesiologist. It is estimated that the incidence of these are present in 25-30% of postoperative patients.
Objective: To go deepen in the knowledge related to physiopathology and combination therapy in the prophylaxis of postoperative nausea and vomiting.
Methods: A bibliographic review was made of the articles published in the Pubmed, Scielo, Medline and Cochrane data bases, related to the topic, belonging to authors dedicated to the study of this problem.
Development: The multifactorial nature of postoperative nausea and vomiting requires a multimodal approach to its treatment, which should be prophylactic rather than therapeutic, with the objective of minimizing risk. It is not reasonable to modify the dependent variables of the patient and of the surgical intervention, but it is possible to directly influence the anesthetics. In several studies, the different risk factors for PONV have been identified and, from these, predictive models have been developed to evaluate the probability of the event.
Conclusions: postoperative nausea and vomiting are a frequent phenomenon in the postoperative period. For its prophylaxis the use of combination therapies (antidopaminergic, antihistaminic, anticholinergic, serotoninantagonists, steroids and neurokinin-1 antagonists) is recommended, givenits multifactorial component. This way of dealing with this problema allows us to reduce the frequency of these symptoms, postoperative complications and facilitate the patient's most immediate recovery.


REFERENCES

  1. Fritsch G, Flamm M, Hepner DL, Panisch S, Seer J, Soennichsen A. Abnormal pre-operative tests, pathologic findings of medical history, and their predictive value for perioperative complications. Acta Anaesthesiol Scand. Mar 2012[acceso: 23/09/2018];56(3). Disponible en: https://onlinelibrary.wiley.com/doi/full/10.1111/j.1399-6576.2011.02593.x

  2. Nazar C, Bastidas J, Coloma R, Zamora M, Fuentes R. Prevención y tratamiento de pacientes con náuseas y vómitos postoperatorios. RevChil Cir. 2017[acceso: 24/09/2018]; 69(5):421-8. Disponible en: https://www.elsevier.es/es-revista-revista-chilena-cirugia-266-articulo-prevencion-tratamiento-pacientes-con-nauseas-S0379389317300388

  3. De la O E. Náuseas y vómitos postoperatorios. Revista médica de Costa Rica y Centroamérica. 2016[acceso: 24/09/2018]; 73 (620): 565 - 570. Disponible en: https://www.medigraphic.com/pdfs/revmedcoscen/rmc-2016/rmc163ab.pdf

  4. GanT J, Diemunsch P, Habib AS, Kovac A, Kranke P, Meyer TA, et al. Consensus guidelines for the management of postoperative nauseas and vomiting. Anesth Analg. 2014[acceso: 24/09/2018]; 118(1):85-113. Disponible en: https://journals.lww.com/anesthesia-analgesia/fulltext/2014/01000/consensus_guidelines_for_the_management_of.13.aspx

  5. Oriol-López SA. Profilaxis y tratamiento de las náuseas y vómitos postoperatorios. Rev Mex Anestesiol. 2013[acceso: 23/09/2018]; 36 (Supl. 2): S363-S374. Disponible en: https://www.medigraphic.com/pdfs/rma/cma-2013/cmas132h.pdf

  6. Smith CA. Postoperative nausea and vomiting in adults: implications for critical care. Crit Care Nurse. 2011[acceso: 23/09/2018]; 31:36-45. Disponible en: https://pdfs.semanticscholar.org/1a61/16f980158ec2b36897394de03c77b4e8f591.pdf

  7. GanetalTJ. Consensus Guidelines for the Management of Postoperative Nausea and Vomiting. AnesthAnalg. 2014[acceso: 25/09/2018];118:85-113. Disponible en: https://journals.lww.com/anesthesia-analgesia/fulltext/2014/01000/consensus_guidelines_for_the_management_of.13.aspx

  8. Farhat K, Kamal A, Ahmad W. Comparison of ondansetron and metoclopramide for PONV prophylaxis in laparoscopic cholecystectomy. Journal Anesthesia Clinic Research. 2013[acceso: 23/09/2018]; 4:3-6. Disponible en: https://pdfs.semanticscholar.org/11f3/e7d0c8f8c1fedada56488cc25a8bc24ba56b.pdf

  9. Laha B, Hazra A, Mallick S. Evaluation of antiemetic effect of intravenous palonosetron versus intravenous ondansetrón in laparoscopic cholecystectomy: a randomized controlled trial. Indian J. Pharmacol. 2013[acceso: 23/09/2018]; 45(1):24-9. Disponible en: https://www.ijp-online.com/article.asp?issn=0253-7613;year=2013;volume=45;issue=1;spage=24;epage=29;aulast=Laha

  10. Haro-Haro B, Zamora-Aguirre SA, Almonte H. Control de náusea y vómito postoperatorio en pacientes con colecistectomía laparoscópica. Anestesia en México. 2016[acceso: 23/09/2018]; 28(3):38-46. Disponible en: https://www.scielo.org.mx/pdf/am/v28n3/2448-8771-am-28-03-00038.pdf

  11. Yado-García RO, Armendáriz-Salinas J, Valero-Gómez J, Terán-Guevara JJ, Betancourt-Márquez MD. Prevención de náusea y vómito postoperatorios en pacientes sometidos a colecistectomía laparoscópica con ondansetrón. Rev Mex Anestesiol. 2013[acceso: 23/09/2018]; 36(4):280-7. Disponible en: https://www.medigraphic.com/pdfs/rma/cma-2013/cma134e.pdf

  12. Wang XX, Zhou Q, Pan DB, Deng HW, Zhou AG, Huang FR, et al. Dexamethasone versus ondansetrón in the prevention of postoperative nausea and vomiting in patients undergoing laparoscopic surgery: a meta-analysis of randomized controlled trials. BMC Anesthesiol. 2015[acceso: 13/06/2019]; 15:118. Disponible en: https://doi.org/10.1186/s12871-015-0100-2

  13. Lagos AC, Quezada ES. Profilaxis y tratamiento de las náuseas y vómitos postoperatorios. Rev Chil Anest. 2009[acceso: 13/06/2019];38:24-33. Disponible en: http://revistachilenadeanestesia.cl/PII/revchilanestv38n01.05.pdf

  14. Cobas VD. Valoración del riesgo de náuseas y vómitos posoperatorios. Rev. Cubana AnestRean. 2014[acceso: 23/03/2019]; 13(1):4-5. Disponible en: https://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1726-67182014000100002&lng=es

  15. Apfel CC, Heidrich FM, Jukar-Rao S, Jalota L, Hornuss C, Whelan RP, et al. Evidence-based analysis of risk factors for postoperative nausea and vomiting. Br J Anaesth. 2012[acceso: 23/03/2019]; 109:742-53. Disponible en: https://linkinghub.elsevier.com/retrieve/pii/S0007-0912(17)31636-7

  16. Apfelbaum JL, Silverstein JH, Chung FF. Practice guidelines for postanesthetic care. An updated report by the American Society of Anesthesiologists task force on postanesthetic care. Anesthesiology. 2013[acceso: 23/06/2019]; 118:291-307. Disponible en: https://anesthesiology.pubs.asahq.org/article.aspx?articleid=1918686&resultclick=1

  17. Kim E, Park HJ, Kang H, Choi J, and Lee HJ. Antiemetic effect of propofol administered at the end of surgery in laparoscopic assisted vaginal hysterectomy. Korean J Anesthesiol. 2014[acceso: 23/03/2019]; 66(3):210-5. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3983417/

  18. Guerra CA, Gil M, Loretto CI, Morgado J. Comparación de la eficacia de difenidol vs dexametasona para disminuir la náusea y el vómito posoperatorios en pacientes sometidos a timpanoplastia, mastoidectomía o ambas. An Orl Mex. 2015[acceso: 23/03/2019]; 60:1-5. Disponible en: https://www.medigraphic.com/pdfs/anaotomex/aom-2015/aom151a.pdf

  19. Tobi KU, Imarengiaye CO, Amadasun FE. The effects of dexamethasone and metoclopramide on early and late postoperative nausea and vomiting in women undergoing myomectomy under spinal anaesthesia. Niger J Clin Pract. 2015[acceso: 23/03/2019]; 17:449-55. Disponible en: https://www.researchgate.net/publication/262979109

  20. Grant M, Kim J, Page A, Hobson D, Wick E, Wu C. The effect of intravenous midazolam on postoperative nausea and vomiting: A meta-analysis. AnesthAnalg. 2016[acceso: 23/03/2019]; 122:656-63. Disponible en: https://www.ingentaconnect.com/content/wk/ane/2016/00000122/00000003/art00014

  21. Roberts GW, Bekker TB, CarlsenHH. Postoperative nausea and vomiting are strongly influenced by postoperative opioid use in a dose related manner. AnesthAnalg. 2005[acceso: 23/03/2019]; 101:1343-48. Disponible en: https://journals.lww.com/anesthesia-analgesia/fulltext/10.1213/01.ANE.0000180204.64588.EC

  22. Nazar L, Bastidas J, Coloma R, Zamora M. Prevención y tratamiento de pacientes con náuseas y vómitos postoperatorios. RevChil Cir. 2017[acceso: 23/03/2019]; 69(5):421-428. Disponible en: https://creativecommons.org/licenses/by-nc-nd/4

  23. Koivuranta M, Läärä E, Snare L, Alahuhta S. A survey of postoperative nausea and vomiting. Anaesthesia. 1997[acceso: 23/03/2019]; 52:443-9. Disponible en: https://onlinelibrary.wiley.com/doi/epdf/10.1111/j.1365-2044.1997.117-az0113.x

  24. Apfel CC, Laara E, Koivuranta M, Greim CA, Roewer N. A simplified risk score for predicting postoperative nausea and vomiting: conclusions from cross-validations between two centers. Anesthesiology. 1999[acceso: 23/03/2019]; 91:693-700. Disponible en: https://anesthesiology.pubs.asahq.org/Article.aspx?articleid=1946036

  25. Eberhart LH, Hogel J, Seeling W, Staack AM, Geldner G, Georgieff M. Evaluation of three risk scores to predict postoperative nausea and vomiting. ActaAnaesthesiol Scand. 2000[acceso: 23/03/2019]; 44:480-8. Disponible en: https://onlinelibrary.wiley.com/doi/full/10.1034/j.1399-6576.2000.440422.x

  26. Mazo V, Vila P, Sabaté S, Orrego C, Canet J. Evaluation of the efficiency of pharmacological antiemetic prophylaxis in different risk groups after general anaesthesia in the surgical population of Catalonia. Rev Esp Anestesio lReanim. 2012[acceso: 23/03/2019]; 59(5):244-53. Disponible en: https://dx.doi.org/10.1016/j.redar.2012.04.009

  27. Celik M, Dostbil A, Aksoy M, Ince I, Ahiskalioglu A, Comez M, et al. Is infusion of subhypnoticpropofol as effective as dexamethasone in prevention of postoperative nausea and vomiting related to laparoscopic cholecystectomy? A randomized controlled trial. Biomed Res Int. 2015[acceso: 07/09/2017];2015:1-5. Disponible en: https://dx.doi.org/10.1155/2015/349806

  28. Joo J, Park YG, Baek J, Moon YE. Haloperidol dose combined with dexamethasone for PONV prophylaxis in high-risk patients undergoing gynecological laparoscopic surgery: a prospective, randomized, double-blind, dose-response and placebo-controlled study. BMC Anesthesiol. Jul 2015[acceso: 07/11/2017]; 15:99. Disponible en: https://www.biomedcentral.com/1471-2253/15/99

  29. Therneau IW, Martin EE, Sprung J, Kellogg TA, Schroeder DR, Weingarten TN. The role of aprepitant in prevention of postoperative nausea and vomiting after bariatric surgery. Obes Surg. 2018[acceso: 23/03/2019]; 28:37-43. Disponible en: https://link.springer.com/article/10.1007/s11695-017-2797-0

  30. Ham SY, Shim YH, Kim EH, Son MJ, Park WS, Lee JS. Aprepitant for antiemesis after laparoscopic gynecological surgery. Eur J Anaesthesiol. 2016[acceso: 23/03/2019]; 33: 90-5. Disponible en: https://journals.lww.com/ejanaesthesiology/fulltext/2016/02000/Aprepitant_for_-antiemesis_after_laparoscopic.5.aspx

  31. YaDeau JT, Paroli L, Fields KG, Kahn RL, LaSala VR, Jules-Elysee KM, et al. Addition of dexamethasone and buprenorphine to bupivacaine sciatic nerve block: A randomized controlled trial. Reg Anesth Pain Med. 2015[acceso: 23/03/2019]; 40(4):321-9. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4470755

  32. Ammar AS, Mahmoud KM. Effect of adding dexamethasone to bupivacaine on transversusabdominis plane block for abdominal hysterectomy: A prospective randomized controlled trial. Saudi J Anaesth. 2012[acceso: 24/03/2019]; 6(3):229-233. Disponible en: https://doi:10.4103/1658-354X.101213

  33. Kakodkar PS. Routine use of dexamethasone for postoperative nausea and vomiting: the case for. Anaesthesia. 2013[acceso: 24/03/2019]; 68(9):889-91. Disponible en: https://doi.org/10.1111/anae.12308

  34. González Castilla R. Dexametasona en la profilaxis de náuseas y vómitos posoperatorios. Rev Cuba Anestesiol Reanim. 2016 Abr[acceso: 11/01/2019]; 15(1):[aprox. 12 pant.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1726-67182016000100004

  35. Sharma AN, Shankaranarayana P. Postoperative nausea and vomiting: palonosetron with dexamethasone vs. ondansetron with dexamethasone in laparoscopic hysterectomies. Oman Med J. 2015[acceso: 11/01/2019]; 30(4):252-6. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4561637

  36. Lee MJ, Lee KC, Kim HY, Lee WS, Seo WJ, Lee C. Comparison of ramosetron plus dexamethasone with ramosetron alone on postoperative nausea, vomiting, shivering and pain after thyroid surgery. Korean J Pain.2015[acceso: 24/03/2019]; 28(1):39-44. Disponible en: https://www.researchgate.net/publication/270964365_Comparison_of_Ramose-tron_Plus_Dexamethasone_with_Ramosetron_Alone_on_Postoperative_Nausea_Vomiti-ng_Shivering_and_Pain_after_Thyroid_Surgery

  37. De Oliveira GS, Castro-Alves LJS, Ahmad S, Kendall MC, McCarthy RJ. Dexamethasone to prevent postoperative nausea and vomiting: an updated meta-analysis of randomized controlled trials. Anesth Analg. 2013[acceso: 24/03/2019]; 116(1):58-74. Disponible en: https://www.anesthesia-analgesia.org/content/116/1/58.abstract

  38. Nazar CE, Lacassie HJ, Lopez RA, Munoz HR. Dexamethasone for postoperative nausea and vomiting prophylaxis: Effect on glycemia in obese patients with impaired glucose tolerance. Eur J Anaesthesiol. 2009[acceso: 24/03/2019]; 26:318-21. Disponible en: https://www.researchgate.net/publication/317641736_Dexamethasone_vs_standa-rd_therapy_for_post-operative_nausea_and_vomiting_in_gastrointestinal_surgery_a_randomised_cont-rolled_trial_DREAMS_Trial

  39. Emami H, Hematti S, Saeidian SM, Feizi A, Taheri S, Adeli P, et al. The efficacy of combination of ondansetron and aprepitant on preventing the radiotherapy-induced nausea and vomiting. J Res Med Sci. 2015[acceso: 24/03/2019]; 20:329-33. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4468446/

  40. da Silva HBG, Sousa AM, Guimaraes GMN, Slullitel A, Ashmawi HA. Does previous chemotherapy-induced nausea and vomiting predict postoperative nausea and vomiting? Acta Anaesthesiol Scand. 2015[acceso: 26/03/2019]; 59: 1145-53. Disponible en: https://doi.org/10.1111/aas.12552

  41. Koju RB, Gurung BS, Dongol Y. Prophylactic administration of ondansetron in prevention of intrathecal morphine-induced pruritus and post-operative nausea and vomiting in patients undergoing caesarean section. BMC Anesthesiol. 2015[acceso: 24/03/2019]; 15(18):1-6. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4429329

  42. Lee WS, Lee KB, Lim S, Chang YG. Comparison of palonosetron, granisetron, and ramosetron for the prevention of postoperative nausea and vomiting after laparoscopic gynecologic surgery: a prospective randomized trial. BMC Anesthesiol. 2015[acceso: 25/03/2019]; 15(1):121-5. Disponible en: https://bmcanesthesiol.biomedcentral.com/articles/10.1186/s12871-015-0102-0

  43. Rosillo LA, Carrillo O, González P, García JA. Comparison of the antiemetic efficacy of propofol versus ondansetron in nasal surgery. Randomised clinical trial. Rev Med Hosp Gen Mex. 2018[acceso: 25/03/2019]; 81(2):72-8. Disponible en: https://www.elsevier.es/en-revista-revista-medica-del-hospital-general-325-articulo-comparison-antiemetic-efficacy-propofol-versus-S0185106316301111

  44. Tricco AC, Soobiah C, Blondal E, Veroniki AA, Khan PA, Vafaei A, et al. Comparative safety of serotonin (5-HT3) receptor antagonists in patients undergoing surgery: a systematic review and network meta-analysis. BMC Med. 2015[acceso: 25/03/2019]; 13(142):1-13. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4472408/

  45. Jian-qin Lv J, Rui-zhi F, Ning Li. P6 acupoint stimulation for prevention of postoperative nausea and vomiting in patients undergoing craniotomy: study protocol for a randomized controlled trial. Trials. 2013[acceso: 25/03/2019]; 14:153-9. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3668145

  46. Hines S, Steels E, Chang A, Gibbons K. Aromatherapy for treatment of postoperative nausea and vomiting. Cochrane Database of Systematic Reviews. 2018;3:CD007598. DOI: 10.1002/14651858.CD007598.pub3.

  47. Lee A, Chan SK, Fan LT. Stimulation of the wrist acupuncture point PC6 for preventing postoperative nausea and vomiting. Cochrane Database Syst Rev. 2015;11(11):CD003281. DOI: 10.1002/14651858.CD003281.pub4.




2020     |     www.medigraphic.com