Background: The obstetric patient at term that will undergo cesarean section under spinal anesthesia has increased in the last decades, therefore, the incidence of adverse effects related to this procedure including the most frequent cause of morbidity when undergoing anesthesia, postoperative nausea and vomiting, few studies have examined the postoperative outcomes specifically for this complication. Objectives: To characterize the frequency and factors associated with postoperative nausea and vomiting in obstetric patients undergoing cesarean section under regional spinal anesthesia in a tertiary level hospital in Bogotá 2020. Methodology: Prospective cohort study on obstetric population who will be taken to caesarean section under regional anesthesia in which the sample selection is performed randomly. Posteriorly a survey of different subjective parameters and physiological objectives will be carried out prior to the surgical procedure and in the immediate postoperative period (first 24 hours). Results: Information was collected for 123 women who were taken for a Cesarean section under regional anesthesia. 13% of the women presented nausea and/or vomiting after the procedure. Conclusions: Intraoperative nausea and vomiting are multifactorial and can be avoided through preventive measures and treatment of risk factors. Conditions such as hyperemesis gravidae frequently associated with the development of postoperative nausea and vomiting. However, other variables such as non-smoker or female newborn sex did not increase the frequency of nausea or vomiting. It is necessary to continue carrying out studies that will be able to find causality in order to be able to handle them optimally to the context studied.
February 2, 2021 8:49 PM
Correlation of spinal anesthesia Nausea and vomiting