IADR Abstract Archives

Post Discharge Nausea/Vomiting After Ambulatory Anesthesia in Oral Surgery

Objective: One of the most common ambulatory oral surgical procedures done today is removal of third molar teeth. However, as with any other surgeries, there are complications associated with oral surgeries. Post discharge nausea and vomiting (PDNV) is one of the complications commonly seen in ambulatory surgeries. While the overall incidence of PDNV after general anesthesia is well established to be about 25%, data on the incidence of PDNV after ambulatory surgery patients are limited and conflicting. Therefore, this study sought to measure the incidence of PDNV in patients undergoing third molar extractions under ambulatory anesthesia and, if clinically relevant, identify independent risk factors.

Method: A prospective study was conducted to obtain postoperative data from 25 adults who underwent third molar surgery under ambulatory anesthesia.  The primary endpoint was the incidence of nausea and/or vomiting after discharge from the clinic until the second postoperative day. Fisher’s exact test was performed to identify predictors for PDNV: female gender, history of motion sickness, opioid consumption, antibiotic usage and smoking status; a p < 0.05 was considered significant.

Result: Patient characteristics were: age 24.2+/-5.18 years, 44% females, 48% non-smokers, 32% current smokers, 16% former smokers, and 12% had a history of motion sickness. 16 patients completed the study. By 48 hours after discharge, 43.8% experienced nausea, 25% severe nausea. None of the predictors listed above were found to be significant predictors for PDNV (Table 1).

Table 1

Variables

 

P-value

(2 sided)

Sex and nausea

0.36

Smoking and nausea

0.37

Motion sickness and nausea

0.55

Antibiotic usage and nausea

1.00

Oxycodone usage and nausea

1.00

Conclusion: These preliminary results show the incidence of PDNV after third molar extraction. This is an ongoing study and the initial data did not show significant predictors.

Division: AADR/CADR Annual Meeting
Meeting: 2014 AADR/CADR Annual Meeting (Charlotte, North Carolina)
Location: Charlotte, North Carolina
Year: 2014
Final Presentation ID: 1254
Abstract Category|Abstract Category(s): Oral & Maxillofacial Surgery
Authors
  • Ashrafi, Alireza  ( Tufts University School of Dental Medicine, Boston, MA, USA )
  • Finkelman, Matthew  ( Tufts University School of Dental Medicine, Boston, MA, USA )
  • Magnuson, Britta  ( Tufts University School of Dental Medicine, Boston, MA, USA )
  • Papageorge, Maria  ( Tufts University School of Dental Medicine, Boston, MA, USA )
  • Sabooree, Sepideh  ( Tufts University School of Dental Medicine, Boston, MA, USA )
  • Viswanath, Archana  ( Tufts University School of Dental Medicine, Boston, MA, USA )
  • SESSION INFORMATION
    Poster Session
    Oral & Maxillofacial Surgery II
    03/21/2014