EARLY POSTOPERATIVE NAUSEA AND VOMITING (EARLY PONV) IN PEDIATRIC PATIENTS AFTER GENERAL ANESTHESIA
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Aim: This study aimed to determine the description of early postoperative nausea symptoms among pediatric patients at Prof. Dr. Margono Soekarjo Regional General Hospital, Purwokerto.
Method: This study used a quantitative descriptive design with a total sampling technique involving 46 pediatric respondents aged 4–18 years who underwent surgery under general anesthesia. Nausea severity was assessed within the first 2 hours postoperatively (early PONV phase) using the Baxter Retching Faces (BARF) Scale, while vomiting events were recorded using an observation sheet. Data were analyzed using univariate analysis and presented as frequency and percentage distributions.
Result: A total of 45 out of 46 patients (97.8%) showed postoperative nausea symptoms (BARF ≥1). The majority experienced mild to moderate nausea (60.9%), followed by severe nausea (37.0%), and vomiting (4.3%). Nausea symptoms were observed across all categories of age, sex, and duration of surgery, with higher intensity tendency in procedures with moderate to longer durations.
Conclusion: Early postoperative nausea symptoms in pediatric patients showed a very high prevalence, predominantly characterized by mild to moderate nausea. These findings highlight the need to strengthen preventive and management strategies for early PONV in the pediatric population.
2. Widyanti IN, Yusniarita Y. Faktor risiko PONV menurut assessment Koivuranta pada pasien bedah saraf: The association of PONV risk factors according to Koivuranta score in neurosurgical patients. Quality J Kesehat. 2024;18(2):115-122.
3. Lestari NE, Arofi TM, Hidayah H, Mahihody AJ, Laksono RD. Keperawatan Anak: Teori & Pedoman Praktis Asuhan dalam Keperawatan Anak. Jakarta: PT Sonpedia Publishing Indonesia; 2024.
4. Haverkate N, de Boer H, Verhoeven J. Assessment of nausea in pediatric patients: Clinical challenges and practical considerations. J Pediatr Nurs. 2024;74:15-21. doi.org/10.1016/j.pedn.2024.06.010.
5. Evans A, Vingelen MB, Yu C, Baird J, Murray P, Bryant P. Nausea in numbers: electronic medical record nausea and vomiting assessment for children with cancer. J Pediatr Oncol Nurs. 2020;37(3):195-203. doi.org/10.1177/1043454219900467.
6. Rahmatisa A, Lestari P, Nugroho H. Gambaran kejadian mual muntah pascaoperasi pada pasien anestesi umum di rumah sakit rujukan. J Kesehat. 2019;10(2):89-96.
7. Norton A, Gustafson D, White-Traut R, Gralton KS. Exploration of aromatherapy in a pediatric outpatient surgical setting: A pilot study. J Perianesth Nurs. 2022;37(5):678-682. doi.org/10.1016/j.jopan.2021.11.015
8. Watcha MF, Ramirez-Ruiz M, White PF. The Baxter Retching Faces Scale: Development and validation of a pediatric nausea assessment tool. Anesthesiology. 2018;129(3):456-465. doi.org/10.1016/j.bja.2018.07.036.
9. Morrison G, Wilmshurst JM. Postoperative nausea and vomiting in children. BJA Educ. 2019;19(4):191-196. doi.org/10.1093/bjaed/mkz014.
10. Kocaturk O, Keles GT, Kahveci K. Pathophysiology of postoperative nausea and vomiting in pediatric patients. Curr Opin Anesthesiol. 2018;31(3):309-315. doi.org/10.1097/ACO.0000000000000585
11. Gan TJ, Belani KG, Bergese S, et al. Fourth consensus guidelines for the management of postoperative nausea and vomiting. Anesth Analg. 2020;131(2):411-448. doi.org/10.1213/ANE.0000000000004833
12. Messerer R, Eberhart LH, Kranke P. Incidence and prevention of postoperative nausea and vomiting in pediatric anesthesia. Curr Opin Anaesthesiol. 2023;36(3):327-333. doi.org/10.1097/ACO.0000000000001247
13. Thiele RH, Nemergut EC. Postoperative nausea and vomiting: Clinical update and emerging therapies. Br J Anaesth. 2020;124(3):e181-e190. doi.org/10.1016/j.bja.2019.11.013.
