Routine Use of Nasogastric Tubes Does Not Reduce Postoperative Nausea and Vomiting
Küçük Resim Yok
Tarih
2009
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Lippincott Williams & Wilkins
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Routine use of a nasogastric (NG) tube has been suggested to prevent postoperative nausea and vomiting (PONV) despite conflicting data. Accordingly, we tested the hypothesis that routine use of a NG tube does not reduce PONV. Our work is based on data from a large trial of 4055 patients initially designed to quantify the effectiveness of combinations of antiemetic treatments for the prevention of POW This analysis uses propensity scores for case matching to ensure group comparability on baseline factors. Intraoperative NG tube use patients and perioperative NG tube use patients were respectively matched to nonuse patients on all available potential confounders. Matched-pairs were identified using propensity scores for 1032 patients with or without intraoperative NG tube use and 176 patients with or without perioperative NG tube use. The incidences of PONV in the intraoperative group were 44.4% vs 41.5%. (P = 0.35) with and without tube use, respectively, and 27.8% vs 31.3% (P = 0.61.) in the perioperative group. Our results provide evidence that routine use of a NG tube does not reduce the incidence of POW (Anesth Analg 2009;109:768-73)
Açıklama
Anahtar Kelimeler
[No Keywords]
Kaynak
Anesthesia And Analgesia
WoS Q Değeri
Q1
Scopus Q Değeri
Q1
Cilt
109
Sayı
3