Journal article

Publication year: 2001

Pages: 1203-1209

Journal: Anesthesia & Analgesia

Volume number: 92

Issue number: 5

ISSN: 0003-2999

Open access status: Bronze

DOI Link: https://doi.org/10.1097/00000539-200105000-00023

Publisher: Lippincott, Williams & Wilkins

Abstract: 
We used an anesthesia information management system (AIMS) to devise a score for predicting antiemetic rescue treatment as an indicator for postoperative nausea and vomiting (PONV) in the postanesthesia care unit (PACU). Furthermore, we wanted to investigate whether data collected with an AIMS are suitable for comparable clinical investigations. Over a 3-yr period (January 1, 1997, to December 31, 1999), data sets of 27,626 patients who were admitted postoperatively to the PACU were recorded online by using the automated anesthesia record keeping system NarkoData (R) (IMESO GmbH, Huttenberg, Germany). Ten patient-related, 5 operative, 15 anesthesia-related, and 4 postoperative variables were studied by using forward stepwise logistic regression. Not only can the probability of having PONV in the PACU be estimated from the 3 previously described patient-related (female gender, odds ratio [OR] = 2.45; smoker, OR = 0.53; and age, OR = 0.995) and one operative variables (duration of surgery, OR = 1.005), but 3 anesthesia-related variables (intraoperative use of opioids, OR = 4.18; use of N2O, OR = 2.24; and IV anesthesia with propofol, OR = 0.40) are predictive. In implementing an equation for risk calculation into the ALMS, the individual risk of PONV can be calculated automatically.

Harvard Citation style: Junger, A., Hartmann, B., Benson, M., Schindler, E., Dietrich, G., Jost, A., et al. (2001) The use of an anesthesia information management system for prediction of antiemetic rescue treatment at the postanesthesia care unit, Anesthesia & Analgesia, 92(5), pp. 1203-1209. https://doi.org/10.1097/00000539-200105000-00023

APA Citation style: Junger, A., Hartmann, B., Benson, M., Schindler, E., Dietrich, G., Jost, A., Béye-Basse, A., & Hempelmannn, G. (2001). The use of an anesthesia information management system for prediction of antiemetic rescue treatment at the postanesthesia care unit. Anesthesia & Analgesia. 92(5), 1203-1209. https://doi.org/10.1097/00000539-200105000-00023