Abstract

Background: Postoperative nausea and vomiting (PONV) is a very common problem among surgical patients. Despite improved methods of risk identification, the incidence of PONV remains as high as 20-40%. It can increase hospital length of stay and greatly reduce patient satisfaction. The purpose of this integrative review is to examine the effects of both oral and IV preoperative carbohydrate loading on the incidence of postoperative nausea and vomiting in surgical patients. Methods: A review the literature was completed by searching for the terms related to preoperative carbohydrate loading and PONV. Results: Twenty studies met the criteria and were analyzed for this review. Twelve publications showed that PONV or antiemetic usage was reduced by either oral or IV preoperative carbohydrate intake. Seven publications showed that PONV was not changed significantly by these interventions. One study had no patients with PONV. There was a low rate of complications discussed among the research with only one case of aspiration. Conclusion: There is a need for more research to be done in this area. However, preoperative carbohydrate loading shows evidence of some decreased PONV with low instance of complications.

Jennifer Meyer

Author Details

Jennifer Meyer, DNAP, CRNA

Sigma Membership

Non-member

Type

Other Graduate Paper

Format Type

Text-based Document

Study Design/Type

Other

Research Approach

Translational Research/Evidence-based Practice

Keywords:

Carbohydrate Loading, PONV, Nausea, Vomiting, IV Dextrose

Advisor

Tritt, Matt

Degree

Doctoral-Other

Degree Grantor

Bryan College of Health Sciences

Degree Year

2019

Creative Commons License

Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 License.

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Review Type

Faculty Approved: Degree-based Submission

Acquisition

Proxy-submission

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