Full-text of the article is available for this locale: Russian.
Abstract
INTRODUCTION: According to the literature, the incidence of PONV is 2 times higher in children compared to adults. In the studies conducted, there are conflicting data on the pro-emetogenic and anti-emetogenic properties of xenon. OBJECTIVES: To study the effect of xenon on the incidence of PONV in the early post-anesthesia period using it in combined anesthesia when performing oral sanitation in children. MATERIALS AND METHODS: Retrospective, observational study included 113 children of both sexes (42 girls, 71 boys). All children underwent combined inhalation anesthesia using xenon in conjunction with local anesthesia by articaine.
RESULTS: According to the results of the study, the incidence of PONV was 4.4 %, whereas the estimated PONV was 30 % in 68 % of children from the presented sample of patients before anesthesia. CONCLUSIONS: In outpatient dental practice, when performing combined anesthesia with the use of xenon, the incidence of PONV is within 4 %. The choice of inhalation anesthetic xenon in children in terms of the incidence of postoperative nausea and vomiting is justified and can be recommended in outpatient practice.
References
- Zhang Q., Deng X., Wang Y., et al. Postoperative complications in Chinese children following dental general anesthesia: A cross-sectional study. Medicine (Baltimore). 2020; 99(45): e23065. DOI: 10.1097/MD.0000000000023065
- Li S., Liu T., Xia J., et al. Effect of dexmedetomidine on prevention of postoperative nausea and vomiting in pediatric strabismus surgery: a randomized controlled study. BMC Ophthalmol. 2020; 20(1): 86. DOI: 10.1186/s12886-020-01359-3
- Schaefer MS., Apfel CC., Sachs HJ., et al. Predictors for postoperative nausea and vomiting after xenon-based anaesthesia. Br J Anaesth. 2015; 115(1): 61–7. DOI: 10.1093/bja/aev115
- Gan T.J. Risk factors for postoperative nausea and vomiting. Anesth Analg. 2006; 102(6): 1884–98. DOI: 10.1213/01.ANE.0000219597.16143.4D
- Gan T.J., Meyer T.A., Apfel C.C., et al. Society for Ambulatory Anesthesia. Society for Ambulatory Anesthesia guidelines for the management of postoperative nausea and vomiting. Anesth Analg. 2007; 105(6): 1615–28, table of contents. DOI: 10.1213/01.ane.0000295230.55439.f4
- Rüsch D., Eberhart L.H., Wallenborn J., Kranke P. Nausea and vomiting after surgery under general anesthesia: an evidence-based review concerning risk assessment, prevention, and treatment. Dtsch Arztebl Int. 2010; 107(42): 733–41. DOI: 10.3238/arztebl.2010.0733
- Höhne C. Postoperative nausea and vomiting in pediatric anesthesia. Curr Opin Anaesthesiol. 2014; 27(3): 303–8. DOI: 10.1097/ACO.0000000000000073
- Eberhart L.H.J., Geldner G., Kranke P., et al. The development and validation of a risk score to predict the probability of postoperative vomiting in pediatric patients. Anesth Analg. 2004; 99(6): 1630–1637. DOI: 10.1213/01.ANE.0000135639.57715.6C
- Coburn M., Kunitz O., Apfel C.C., et al. Incidence of postoperative nausea and emetic episodes after xenon anaesthesia compared with propofol-based anaesthesia. Br J Anaesth. 2008; 100(6): 787–91. DOI: 10.1093/bja/aen077
- Apfel C.C., Kranke P., Katz M.H., et al. Volatile anaesthetics may be the main cause of early but not delayed postoperative vomiting: a randomized controlled trial of factorial design. Br J Anaesth. 2002; 88(5): 659–68. DOI: 10.1093/bja/88.5.659
- Peyton P.J., Wu C.Y. Nitrous oxide-related postoperative nausea and vomiting depends on duration of exposure. Anesthesiology. 2014; 120(5): 1137–45. DOI: 10.1097/ALN.0000000000000122
- Atan S., Ashley P., Gilthorpe M.S., et al. Morbidity following dental treatment of children under intubation general anaesthesia in a day-stay unit. Int J Paediatr Dent. 2004; 14(1): 9–16. DOI: 10.1111/j.1365-263x.2004.00520.x
- Apfel C.C., Heidrich F.M., Jukar-Rao S., et al. Evidence-based analysis of risk factors for postoperative nausea and vomiting. Br J Anaesth. 2012; 109(5): 742–53. DOI: 10.1093/bja/aes276
- Ситкин С.И., Поздняков О.Б. Новые подходы к индукции анестезии севофлураном у детей. Анестезиология и реаниматология. 2018; (6): 31–35 [Sitkin S.I., Pozdnyakov O.B. New approaches to induction of anesthesia in children by sevoflurane. Russian Journal of Anesthesiology and Reanimatology. 2018; (6): 31–35. DOI: 10.17116/anaesthesiology201806131 (In Russ)]
- Boer H.D., Detriche O., Forget P. Opioid-related side effects: Postoperative ileus, urinary retention, nausea and vomiting, and shivering. A review of the literature. Best Pract Res Clin Anaesthesiol. 2017; 31(4): 499–504. DOI: 10.1016/j.bpa.2017.07.002
- Edler A.A., Mariano E.R., Golianu B., et al. An analysis of factors influencing postanesthesia recovery after pediatric ambulatory tonsillectomy and adenoidectomy. Anesth Analg. 2007; 104(4): 784–9. DOI: 10.1213/01.ane.0000258771.53068.09
- Naja Z., Kanawati S., Al Khatib R., et al. The effect of IV dexamethasone versus local anesthetic infiltration technique in postoperative nausea and vomiting after tonsillectomy in children: A randomized double-blind clinical trial. Int J Pediatr Otorhinolaryngol. 2017; 92: 21–26. DOI: 10.1016/j.ijporl.2016.10.030

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Copyright (c) 2024 Annals of Critical Care
