Анестезия и клинические исследования
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Efficacy of Intravenous Fluid on Prevention of Post-Operative Nausea and Vomiting at Ayder Referral Hospital Mekelle University, Northern Ethiopia

Kore Menjie, Wondwossen Tekeleselasie and Amare Alemu

Background: From post-operative complications which can put stress on operated patients, nausea and vomiting have a higher percentage and patient can have serious complications like fluid and electrolyte disturbance and pulmonary aspiration. Although there are many anti-emetics drugs are available for the prevention of postoperated nausea and vomiting a benefit is observed on few of them.

Objective: The aim of this study was to assess the efficiency of intravenous fluid on prevention post-operative nausea and vomiting, Mekelle University Ayder Referral Hospital.

Methodology: Cohort study was carried out using probability sampling technique. Data was collected by the interviewer administered structured questioner and it was entered, cleaned and analyzed by Epi-Info version 7.0 and SPSS version 20. Proportion was used to describe the results and it was presented in the form of figure, table and texts.

Result: Incidence rate of post-operative nausea and vomiting in early, middle and late post-operative period in exposed group was 35.45 and 19.35, 29.03 and 6.45, 29.03 and 6.45 similarly it was 67.24 and 65.52, 68.97 and 46.55, 37.93 and 17.24 non-exposed group. Female patients took the higher incidence rate (67.67). Patients whose age groups range from 20-49 took 68.42% of the whole incidence rate of post-operative vomiting. Body mass index and type of anesthesia didn’t put their influence on the incidence rate of post-operative nausea and vomiting.

Conclusion and recommendation: The incidence rate of post-operative nausea and vomiting and ant-emetic used in early and middle phase of post-operative period was highly associated with pre-operative administration of intravenous fluid in the bivariate analysis, so the anesthesia provider and the ward nurses should take the responsibility of doing it and Further studying mainly addresses on amount of bolus fluid that may significantly affect the incidence rate of post-operative nausea and vomiting are recommended.