Question
What is the most frequent reason for hospital admission following daycare surgery?
| A. |
Postoperative nausea and vomiting
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| B. |
Respiratory distress
|
| C. |
Post-surgical pain
|
| D. |
Bleeding
|
Show Answer
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Correct Answer » A
Explanation
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|
Postoperative nausea and vomiting (PONV) is the most common reason for hospital admission following daycare (ambulatory) surgery. It can significantly impact recovery, leading to unanticipated admissions for management.
PONV can significantly affect patient comfort, satisfaction, and recovery after surgery. Multiple factors, including the effects of anaesthesia, surgical trauma, patient-related factors, and medications, cause it. The exact mechanisms underlying PONV are complex and involve stimulating various receptors and pathways in the body, including those in the gastrointestinal tract, brain, and inner ear.
Preventing and managing PONV is an important aspect of perioperative care. Strategies for reducing the incidence of PONV include administering antiemetic medications before and after surgery, individualizing anesthetic techniques, and minimizing opioid use. Early identification and prompt treatment of PONV are crucial to prevent complications, ensure patient comfort, and facilitate same-day discharge after surgery.
The other options: Respiratory distress, post-surgical pain, and bleeding are also important postoperative complications but are less frequent reasons for admission compared to PONV.
