The Effects of Early Oral Intake in the Postanesthesia Care Unit on Nausea and Vomiting: A Meta-analysis of Randomized Controlled Trials

IF 2 4区医学 Q2 NURSING

Journal of Perianesthesia Nursing Pub Date : 2025-10-01 DOI:10.1016/j.jopan.2025.01.001

Mi-Ra Kang APN, MS, RN , Hyun-Ju Seo PhD, MPH, RN , Ji Sung Lee PhD , Yoon-Kyung Jang MS, RN , Soyeon Lee MS, RN , Hye-Jin Kim RN , Seo-Jin Won RN , Kyungja Kim MS, RN , Eunyoung Im MS, RN

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引用次数: 0

Abstract

Purpose

This systematic review and meta-analysis aimed to investigate whether early oral fluid intake after surgery compared with delayed oral intake causes nausea and vomiting in pediatric patients who underwent general anesthesia in the postanesthesia care unit (PACU).

Design

Systematic review and meta-analysis.

Methods

Conducted in accordance with the Cochrane Handbook for Systematic Reviews of Interventions (version 6.4), this study searched electronic databases, including Pubmed, CINAHL, Embase, Cochrane CENTRAL, PubMed, RISS, and KoreaMed up to July 2023. The Risk of Bias 2 tool assessed the risk of bias, and R statistical software facilitated meta-analysis. The certainty of evidence was evaluated using the Grading of Recommendations, Assessment, Development, and Evaluation approach.

Findings

A meta-analysis of 6 randomized controlled trials (RCTs) (2,723 patients) found early oral intake in the PACU decreased vomiting incidence by 36% compared with delayed oral fluid intake (risk ratio = 0.64, 95% confidence interval: 0.42 to 0.97, P = .040, I² = 7%) with moderate certainty of evidence. Another meta-analysis of 3 RCTs (2,185 participants) showed that early oral intake did not increase nausea compared with delayed oral intake (95% confidence interval: −0.76 to 0.07, P = .071, I² = 0%) with low certainty of evidence.

Conclusions

Early oral fluid intake in the PACU decreases postoperative vomiting without raising nausea. Health care providers should consider implementing early oral fluid intake in the PACU for enhanced recovery of pediatric patients.

查看原文本刊更多论文

麻醉后护理病房早期口服摄入对恶心和呕吐的影响：随机对照试验的荟萃分析。

目的：本系统综述和荟萃分析旨在探讨术后早期口服液体摄入与延迟口服液体摄入是否会导致在麻醉后护理单元（PACU）接受全身麻醉的儿科患者恶心和呕吐。设计：系统回顾和荟萃分析。方法：根据Cochrane干预措施系统评价手册（6.4版），本研究检索了截至2023年7月的电子数据库，包括Pubmed、CINAHL、Embase、Cochrane CENTRAL、Pubmed、RISS和KoreaMed。Risk of Bias 2工具评估偏倚风险，R统计软件促进meta分析。采用推荐分级、评估、发展和评价方法评估证据的确定性。结果：对6项随机对照试验（RCTs）（2,723例患者）的荟萃分析发现，与延迟口服液体摄入相比，PACU患者早期口服液体摄入可使呕吐发生率降低36%（风险比= 0.64,95%可信区间：0.42 ~ 0.97,P = 0.040, I2 = 7%），证据确定性中等。另一项对3项随机对照试验（2185名参与者）的荟萃分析显示，与延迟口服摄入相比，早期口服摄入不会增加恶心（95%置信区间：-0.76至0.07,P = 0.071, I2 = 0%），证据确定性较低。结论：PACU患者早期口服液体可减少术后呕吐，且不加重恶心。卫生保健提供者应考虑在PACU实施早期口服液体摄入，以促进儿科患者的康复。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Perianesthesia Nursing NURSING-

CiteScore

2.20

自引率

17.60%

发文量

279

审稿时长

90 days

期刊介绍： The Journal of PeriAnesthesia Nursing provides original, peer-reviewed research for a primary audience that includes nurses in perianesthesia settings, including ambulatory surgery, preadmission testing, postanesthesia care (Phases I and II), extended observation, and pain management. The Journal provides a forum for sharing professional knowledge and experience relating to management, ethics, legislation, research, and other aspects of perianesthesia nursing.