Short Commentary - (2018) Volume 3, Issue 3
Apple Juice for Postoperative Nausea and Vomiting
Short Commentary J Anesth Pain Med, 2018 Volume 3 | Issue 3 | 1
Simon Thompson
Visiting Professor/Associate Professor, Université Paris Ouest Nanterre La Défense, France/Bournemouth University, UK
* Corresponding Author
Professor Dr Simon B N Thompson, Visiting Professor/Associate Professor, Université Paris Ouest Nanterre La Défense, France/Bournemouth University, UK
Submitted: 31 Aug 2018; Accepted: 10 Sep 2018; Published: 28 Sep 2018
Citation: Thompson, S. (2018). Apple Juice for Postoperative Nausea and Vomiting. J Anesth Pain Med, 3(3), 1.
Abstract
Paediatric patients undergoing conventional general anaesthesia, particularly for adnexal surgery, frequently report postoperative nausea and vomiting (PONV).
Commentary
Paediatric patients undergoing conventional general anaesthesia, particularly for adnexal surgery, frequently report postoperative nausea and vomiting (PONV). Although PONV is common, early postoperative oral fluid intake can influence the need for opiods and postoperative vomiting [1,2]. Unless there is a clear contraindication, researchers have indicated that it is safe and recommended for children able to take clear fluids, up to 1 hour prior to elective general aneasthesia [3]. Among fluids thought to reduce the effects of PONV are “flat coke” and dilute apple juice; the latter also being an appropriate alternative to electrolyte maintenance in children with mild gastroenteritis [4]. It would be helpful to know why such fluids may help and with which mechanism they interact? PONV is not insignificant with adnexal surgery and it is acknowledged that the surgery itself may of course have potential emetic effects.
References
1. Wilson L, Knaggs R (2012) How to prevent and manage postoperative nausea and vomiting. Clinical Pharmacist 4:85
2. C Chauvin, A S Schalber-Geyer, F Lefebvre, C Bopp, G Carrenard, et al. (2017) Early postoperative oral fluid intake in paediatric day case surgery influences the need for opioids and postoperative vomiting: a controlled randomized trial. British Journal of Anaesthesia 118: 407-414.
3. Mark Thomas, Christa Morrison, Richard Newton, Ehrenfried Schindler (2018) Consensus statement on clear fluids fasting for elective pediatric general anesthesia. Paediatric Anaesthesia 28: 411-14.
4. Stephen B. Freedman MDCM, Andrew R. Willan PhD, Kathy Boutis MD, Suzanne Schuh MD, (2016). Effect of dilute apple juice and preferred fluids vs electrolyte maintenance solution on treatment failure among children with mild gastroenteritis. A randomized clinical trial. Journal of the American Medical Association 315: 1966-1974.