The Relationship Between Preoperative Administration Of Ringer's Lactate Solution With Incidence Of Postoperative Nausea-Vomitting (PONV)
Track: Research and Publication
WCA 16-ABS-2155
THE RELATIONSHIP BETWEEN PREOPERATIVE ADMINISTRATION OF RINGER'S LACTATE
SOLUTION WITH INCIDENCE OF POSTOPERATIVE NAUSEA-VOMITTING (PONV)
Emmanuella Irene Gracia Sitorus" Andriamuri Primaputra Lubis2
Student for Bachelor Degree, Faculty of Medicine, University Sumatera Utara, H. Adam Malik
General Hospital, Medan, Indonesia
2Senior Consultant, Department of Anesthesiology & Intensive Care, Faculty of Medicine, University Sumatera
Utara, H. Adam Malik General Hospital, Medan, Indonesia
1 Graduate
Preferred presentation method: e-Poster presentation only
Do yo wish to submit a case study or research abstract?: Research abstract
Background & Objectives:
Postoperative nausea & vomiting (PONV) is a symptom that may occur in patient that recently undergone
surgical procedures. It usually occurs 24 hours after surgery. Although many research has done to prevent the
incidence of PONV, it becomes a problem in postoperative care because of patient discomfort and prolonged
length of stay.
There is multiple cause related to incidence of PONC, including anesthesia drugs, types of procedure, and
patient's risk. Risk of PONV is higher in female, non-smoker, patient with former history of PONV or motion
sickness, and patient with history of opioid use.
The goal of this study is to determine the connection between administration of Ringer Lactate's fluid
administrarion to replace fasting fluid loss and incidence of postoperative nausea vomiting incidence.
Materials & Methods:
The method of this research is descriptive analytic wit cross sectional approach. The tools for obtaining data is
from observation and interview. This study is done from September 2015 until November 2015 at H. Adam
Malik General Hospital by interviewing sample in 12 hour and 24 hour after surgical procedure with general
anesthesia and receiving 2 cC/kgBWIhour Ringer's Lactate solutionto substitute fasting loss
Results:
Total of samples included are 54 person. Among them, 13 people (24,1%) experienced PONV. Highest
incidence of nausea is within 12 hours after surgery which happen in 11 people (20,4%). Only 5 people (9,3%)
experience nausea in 24 hours after surgery.
Highest incidence of vomiting is in 12 hours after surgery which is found in 7 people (13%). P value for PONV
variable in 12 hour and 24 hour after surgery is 0,109 (p>O,05)
Conclusion:
There is no significant correlation between administration of preoperative Ringer's Lactate solution to replace
fasting loss with PONV incidence. PONV is often seen in early onset (12 hours after surgery) that is in 11
patient from 54 people in sample.
References:
1. Apfel C.C., et al., 1999. A simplified risk score for predicting postoperative nausea and vomiting: conclusions
from cross-validations between two centers. Dalam: Apfel , C.C., et aI., 2012. Supplemental Intravenous
Crystalloids for The Prevention of Postoperative Nausea and Vomiting: Quantitative Review. British Journal of
Anaesthesia 108 (6): 893-902
2. Morgan, Jr, G.E., Mikhail, M.S., & Murray, M.J., 2006. Clinical Anesthesiology, 4th ed. USA: McGraw - Hill
Companies, Inc
3. Keane PW & Murray PF, 1986. Intravenous fluids in minor surgery. Their effect on recovery from
anaesthesia. Da/am: Apfel, C.C., et a/., 2012. Supplemental Intravenous Crystalloids for The Prevention of
Postoperative Nausea and Vomiting: Quantitative Review. British Journal of Anaesthesia 108 (6): 893-902
4. Chaudary, S., et a/., 2006. Pre-operative Intravenous Fluid Therapy with Crystalloids or COlloids on Postoperative Nausea and Vomiting. Indian J. Med Res 127, June 2008, pp 577-581
Disclosure of Interest: None Declared
WCA 16-ABS-2155
THE RELATIONSHIP BETWEEN PREOPERATIVE ADMINISTRATION OF RINGER'S LACTATE
SOLUTION WITH INCIDENCE OF POSTOPERATIVE NAUSEA-VOMITTING (PONV)
Emmanuella Irene Gracia Sitorus" Andriamuri Primaputra Lubis2
Student for Bachelor Degree, Faculty of Medicine, University Sumatera Utara, H. Adam Malik
General Hospital, Medan, Indonesia
2Senior Consultant, Department of Anesthesiology & Intensive Care, Faculty of Medicine, University Sumatera
Utara, H. Adam Malik General Hospital, Medan, Indonesia
1 Graduate
Preferred presentation method: e-Poster presentation only
Do yo wish to submit a case study or research abstract?: Research abstract
Background & Objectives:
Postoperative nausea & vomiting (PONV) is a symptom that may occur in patient that recently undergone
surgical procedures. It usually occurs 24 hours after surgery. Although many research has done to prevent the
incidence of PONV, it becomes a problem in postoperative care because of patient discomfort and prolonged
length of stay.
There is multiple cause related to incidence of PONC, including anesthesia drugs, types of procedure, and
patient's risk. Risk of PONV is higher in female, non-smoker, patient with former history of PONV or motion
sickness, and patient with history of opioid use.
The goal of this study is to determine the connection between administration of Ringer Lactate's fluid
administrarion to replace fasting fluid loss and incidence of postoperative nausea vomiting incidence.
Materials & Methods:
The method of this research is descriptive analytic wit cross sectional approach. The tools for obtaining data is
from observation and interview. This study is done from September 2015 until November 2015 at H. Adam
Malik General Hospital by interviewing sample in 12 hour and 24 hour after surgical procedure with general
anesthesia and receiving 2 cC/kgBWIhour Ringer's Lactate solutionto substitute fasting loss
Results:
Total of samples included are 54 person. Among them, 13 people (24,1%) experienced PONV. Highest
incidence of nausea is within 12 hours after surgery which happen in 11 people (20,4%). Only 5 people (9,3%)
experience nausea in 24 hours after surgery.
Highest incidence of vomiting is in 12 hours after surgery which is found in 7 people (13%). P value for PONV
variable in 12 hour and 24 hour after surgery is 0,109 (p>O,05)
Conclusion:
There is no significant correlation between administration of preoperative Ringer's Lactate solution to replace
fasting loss with PONV incidence. PONV is often seen in early onset (12 hours after surgery) that is in 11
patient from 54 people in sample.
References:
1. Apfel C.C., et al., 1999. A simplified risk score for predicting postoperative nausea and vomiting: conclusions
from cross-validations between two centers. Dalam: Apfel , C.C., et aI., 2012. Supplemental Intravenous
Crystalloids for The Prevention of Postoperative Nausea and Vomiting: Quantitative Review. British Journal of
Anaesthesia 108 (6): 893-902
2. Morgan, Jr, G.E., Mikhail, M.S., & Murray, M.J., 2006. Clinical Anesthesiology, 4th ed. USA: McGraw - Hill
Companies, Inc
3. Keane PW & Murray PF, 1986. Intravenous fluids in minor surgery. Their effect on recovery from
anaesthesia. Da/am: Apfel, C.C., et a/., 2012. Supplemental Intravenous Crystalloids for The Prevention of
Postoperative Nausea and Vomiting: Quantitative Review. British Journal of Anaesthesia 108 (6): 893-902
4. Chaudary, S., et a/., 2006. Pre-operative Intravenous Fluid Therapy with Crystalloids or COlloids on Postoperative Nausea and Vomiting. Indian J. Med Res 127, June 2008, pp 577-581
Disclosure of Interest: None Declared