[Stimulation of the acupuncture point P6 as prophylaxis against postoperative nausea and vomiting].
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Biomedical subjects
Publications and source records attributed to Peter Ahlburg.
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During the last years huge amounts of literature have been reviewed systematically. Recently, guidelines have been proposed. For the first time a large prospective study has been performed on the effect of combining antiemetics. In this review we try to propose a rational approach to postoperative nausea and vomiting. The scoring of patients at risk, rational anaesthetic agents, prophylactic administration of antiemetics to patients at risk and effective postoperative antiemetic treatment are suggested.
INTRODUCTION: In Denmark, outpatient laparoscopic cholecystectomy (LC) has been evaluated only in small studies. MATERIALS AND METHODS: The first 300 consecutive patients undergoing LC in a university hospital outpatient clinic were evaluated prospectively. Complications, lack of same-day discharge (SDD), postoperative symptoms, and possibilities for training were recorded. RESULTS: The median length of surgery was 65 minutes. The conversion rate was 4%. The SDD failure rate was 23%. The percentage of readmissions was 5%. The mortality rate was 0%. Blood transfusions were given in two cases. Two umbilical port sites were infected and needed surgical drainage. No major bile duct injury occurred. Two cystic duct lesions and two small bile leaks from the gallbladder bed were diagnosed and treated. LCs" being performed by junior residents had no influence on the perioperative risks. DISCUSSION: Outpatient LC is safe when performed by trainees under supervision.
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