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Relation between middle ear pressure changes and postoperative nausea and vomiting in pediatric strabismus surgery.

Abstract：

STUDY OBJECTIVE:To investigate the effects of tympanometric changes on the frequency of postoperative nausea and vomiting (PONV). DESIGN:Prospective, observational study. SETTING:University hospital. PATIENTS:49 ASA physical status I, nonpremedicated children undergoing elective strabismus surgery. INTERVENTIONS:Frequency of PONV was assessed at various time intervals (0-2, 2-6, and 6-24 hours) with a 4-point scale (0, no nausea; 1, nausea but no vomiting; 2, one episode of vomiting; 3, two or more episodes of vomiting), and correlation with tympanometric data was investigated. MEASUREMENTS:Tympanogram was obtained before induction of standardized anesthesia and after full recovery. Fourteen (28.6%) patients had nausea, and 10 (20.4%) patients vomited. The tympanic gradient, compliance, and pressure values were found to be significantly higher in postoperative measurements than their preoperative counterparts (P < 0.05). The volumes of both ears increased postoperatively, but these differences were not statistically significant (P > 0.05). Changes in middle ear pressure, volume, compliance, and gradient did not correlate with PONV (P > 0.05). CONCLUSIONS:Gradient, compliance, volume, and pressure changes in middle ears were not found to be related to the frequency of nausea and vomiting after strabismus surgery.

journal_name

J Clin Anesth

journal_title

Journal of clinical anesthesia

authors

Karaaslan K,Kocoglu H,Yilmaz F,Koybasi S,Celebi S,Ekerbicer H

doi

10.1016/j.jclinane.2006.05.027

subject

Has Abstract

pub_date

2007-03-01 00:00:00

pages

101-4

issue

2

eissn

0952-8180

issn

1873-4529

pii

S0952-8180(06)00296-0

journal_volume

19

pub_type

杂志文章

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