Table 3.
Association of antiemetics and anesthetic agents with postoperative nausea and vomiting among patients who underwent laparoscopic cholecystectomy at the National Referral Hospital, Bhutan, 2018
| Characteristics | B | S.E. | Wald | OR (95% CI) | p-value | |
|---|---|---|---|---|---|---|
| Premedication | ||||||
| Ranitidine | 0.5 | 0.4 | 1.9 | 1.7 (0.8–3.7) | 0.162 | |
| Midazolam | 0.7 | 0.5 | 2.4 | 2.0 (0.8–4.9) | 0.123 | |
| Induction of anesthesia | ||||||
| Sodium thiopental | 1.4 | 0.4 | 12.5 | 4.1 (1.9–9.1) | < 0.001 | |
| Propofol | -1.4 | 0.4 | 12.5 | 0.2 (0.1–0.5) | < 0.001 | |
| Antiemetics | ||||||
| Metoclopramide | 0.1 | 0.4 | 0.0 | 1.1 (0.5–2.4) | 0.857 | |
| Ondansetron | -1.7 | 0.4 | 14.8 | 0.2 (0.1–0.4) | < 0.001 | |
| Dexamethasone | -0.3 | 0.3 | 0.8 | 0.7 (0.4–1.4) | 0.367 | |
| Combination of antiemetics used | ||||||
| One antiemetics used | -2.4 | 0.5 | 19.8 | 0.1 (0.0-0.2) | < 0.001 | |
| Two antiemetics used | -1.7 | 0.5 | 11.4 | 0.2 (0.1–0.5) | 0.001 | |
| More than two antiemetics used | -2.4 | 0.8 | 9.6 | 0.1 (0.0-0.4) | 0.002 | |
| Muscle relaxants | ||||||
| Succinylcholine | 0.4 | 0.4 | 0.6 | 1.4 (0.6–3.4) | 0.433 | |
| Vecuronium | 0.5 | 0.4 | 2.2 | 1.7 (0.8–3.5) | 0.137 | |
| Atracurium | -0.5 | 0.3 | 2.2 | 0.6 (0.3–1.2) | 0.137 | |
| Opioids | ||||||
| Morphine | 0.1 | 0.3 | 0.1 | 1.1 (0.6–2.1) | 0.715 | |
| Fentanyl | -0.1 | 0.3 | 0.1 | 0.9 (0.4–1.6) | 0.714 | |
| Adjuvant analgesics | ||||||
| Paracetamol | -0.9 | 0.4 | 4.9 | 0.4 (0.2–0.8) | 0.026 | |
| Diclofenac sodium | 0.6 | 0.7 | 0.9 | 1.8 (0.5–6.8) | 0.343 | |
| Maintenance of anesthesia | ||||||
| Nitrous oxide | -0.4 | 0.4 | 1.5 | 0.7 (0.3–1.3) | 0.222 | |
| Sevoflurane | 0.1 | 1.2 | 0.0 | 1.1 (0.1–12.5) | 0.931 | |
| Isoflurane | 0.8 | 1.1 | 0.6 | 2.3 (0.3–20.1) | 0.451 | |
| Air | 0.4 | 0.3 | 1.4 | 1.5 (0.7-3.0) | 0.222 | |
| Constant | -0.4 | 0.2 | 4.9 | 0.7 | 0.026 | |
OR: odds ratio