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Association of nausea and vomiting in between anaesthetic or patients factors in Monitored Anaesthesia Care (MAC) after gastrointestinal endoscopies in tertiary care hospital: An Audit

Introduction: Esophagogastroduodenoscopy (EGD) is used for both diagnostic and therapeutic procedures. EGD under Monitored Anesthesia Care (MAC) is gaining wide acceptance, but nausea and vomiting remains one of the most common and distressing complications, which require additional resources and may delay in the discharge of patient from hospital. The aim of this audit was to determine the association of nausea and vomiting in between anaesthetic technique or patients factors after gastrointestinal endoscopic procedures under MAC.

Methods: After finishing 3 hours of endoscopic procedure one of the investigators evaluated and collects the patient’s data in the ward and filled the predesigned assessment form and ticked the different variables which may have effect on nausea and vomiting.

Results: 130 patients were enrolled over the period of 1 year. During the all procedure we observed mild to severe nausea vomiting in those patients who have diabetes mellitus and 10 patients were need antiemetic to control vomiting.

Conclusion: Incidence of PONV (Postoperative nausea and vomiting) is high after endoscopy under MAC especially in those patients who has high risk factors for PONV as well as in known diabetic patients. So prophylactic antiemetic therapy should be commenced in those patients and further randomized controlled trial should be recommended to establish this relationship.

Author(s): Khalid Maudood Siddiqui , Faraz Shafiq , Ali Asghar

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