Association Between Gastric Antral Cross-sectional Area and Postoperative Nausea and Vomiting in Patients Undergoing Laparoscopic Cholecystectomy.

OBJECTIVE

To explore the predictive value of gastric antral cross-sectional area (CSA) in the occurrence of postoperative nausea and vomiting (PONV) by analysing the association between gastric antral CSA measured by ultrasound and frequency of PONV after laparoscopic cholecystectomy.

STUDY DESIGN

Observational study. Place and Duration of the Study: Department of Anaesthesiology, The First Hospital of Wannan Medical College, Yijishan Hospital of Wannan Medical College, from October 2021 to February 2022.

METHODOLOGY

Gastric antral ultrasound (US) was performed in 266 patients undergoing laparoscopic cholecystectomy (LC) before anaesthesia induction, after it, and after surgery. The data obtained were used to evaluate the relationship between gastric antral CSA and PONV.

RESULTS

The gastric antral CSA in Semi-recumbent decubitus (SRD) position >398.85 mm2 (AUC=0.623) highly indicated the occurrence of PONV. In addition, the subject performance characteristic curve of a binary logistics retrospective model for predicting PONV (AUC=0.805) highly indicated the occurrence of PONV.

CONCLUSION

Gastric US assessment of gastric antral CSA might change the current assessment model of PONV risk. This study showed that the gastric antral CSA in the SRD position after anaesthesia induction and a binary logistics retrospective model could be used to predict the occurrence of PONV, which could be helpful to adjust intraoperative and postoperative interventions and accelerate the recovery of patients.

KEY WORDS

Postoperative nausea and vomiting, Gastric ultrasound, Gastric cross-sectional area, Perioperative period.