دورية أكاديمية
أعرض في EDS

An Enhanced Recovery After Surgery (ERAS) Protocol for Orthognathic Surgery Reduces Rates of Postoperative Nausea.

التفاصيل البيبلوغرافية
العنوان: An Enhanced Recovery After Surgery (ERAS) Protocol for Orthognathic Surgery Reduces Rates of Postoperative Nausea.
المؤلفون: Alvarez GA; Harvard School of Dental Medicine., Hebert KJ; Harvard School of Dental Medicine., Britt MC; Department of Plastic and Oral Surgery, Boston Children's Hospital., Resnick CM; Harvard Medical School and Harvard School of Dental Medicine, Boston, MA., Padwa BL; Department of Plastic and Oral Surgery, Boston Children's Hospital.; Harvard Medical School and Harvard School of Dental Medicine, Boston, MA., Green MA; Department of Plastic and Oral Surgery, Boston Children's Hospital.; Harvard Medical School and Harvard School of Dental Medicine, Boston, MA.
المصدر: The Journal of craniofacial surgery [J Craniofac Surg] 2024 Jun 01; Vol. 35 (4), pp. 1125-1128. Date of Electronic Publication: 2024 Apr 24.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 9010410 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1536-3732 (Electronic) Linking ISSN: 10492275 NLM ISO Abbreviation: J Craniofac Surg Subsets: MEDLINE
أسماء مطبوعة: Publication: <2014-> : Hagerstown, MD : Lippincott Williams & Wilkins
Original Publication: Burlington, Ont. : B.C. Decker, c1990-
مواضيع طبية MeSH: Postoperative Nausea and Vomiting*/prevention & control , Enhanced Recovery After Surgery* , Orthognathic Surgical Procedures*, Humans ; Female ; Male ; Retrospective Studies ; Adolescent ; Adult ; Young Adult ; Child ; Antiemetics/therapeutic use ; Clinical Protocols
مستخلص: For many surgical procedures, enhanced recovery after surgery (ERAS) protocols have improved patient outcomes, particularly postoperative nausea and vomiting. The purpose of this study was to evaluate postoperative nausea following orthognathic surgery after the implementation of an ERAS protocol. This retrospective cohort study included patients between 12 and 35 years old who underwent orthognathic surgery at Boston Children's Hospital from April 2018 to December 2022. Patients with syndromes or a hospital stay greater than 48 hours were excluded from the study. The primary predictor was enrollment in our institutional ERAS protocol. The main outcome variable was postoperative nausea. Intraoperative and postoperative covariates were compared between groups using unpaired t tests and chi squared analysis. Univariate and multivariate regression models with 95% confidence intervals were performed to identify predictors for nausea. A P value<0.05 was considered significant. There were 128 patients (68 non-ERAS, 60 ERAS) included in this study (51.6% female, mean age 19.02±3.25 years). The ERAS group received less intraoperative fluid (937.0±462.3 versus 1583.6±847.6 mL, P ≤0.001) and experienced less postoperative nausea (38.3% versus 63.2%, P =0.005). Enhanced recovery after surgery status ( P =0.005) was a predictor for less postoperative nausea, whereas bilateral sagittal split osteotomy ( P =0.045) and length of stay ( P =0.007) were positive predictors for postoperative nausea in multivariate logistic regression analysis. Implementing an ERAS protocol for orthognathic surgery reduces postoperative nausea. Level of Evidence: Level III-therapeutic.
Competing Interests: The authors report no conflicts of interest.
(Copyright © 2024 by Mutaz B. Habal, MD.)
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المشرفين على المادة: 0 (Antiemetics)
تواريخ الأحداث: Date Created: 20240424 Date Completed: 20240603 Latest Revision: 20240603
رمز التحديث: 20240603
DOI: 10.1097/SCS.0000000000010121
PMID: 38656374
قاعدة البيانات: MEDLINE
الوصف
تدمد:1536-3732
DOI:10.1097/SCS.0000000000010121