Intraoperative Brainstem Auditory Evoked Potentials and Postoperative Nausea and Vomiting After Microvascular Decompression

被引：0

作者：

Go, Kyeong-O ^{[1
]}

Ji, So Young ^{[2
,3
]}

Kwon, Ji-Eyon ^{[2
,3
]}

Hwang, Kihwan ^{[2
,3
]}

Cho, Minjae ^{[2
]}

Park, Byung Hwa ^{[4
]}

Park, Kyung Seok ^{[4
,5
]}

Kim, Jong-Min ^{[4
,5
]}

Koo, Chang-Hoon ^{[6
,7
]}

Jeon, Young -Tae ^{[6
,7
]}

Park, Sanghon ^{[6
,7
]}

Ryu, Jung-Hee ^{[6
,7
]}

Han, Jung Ho ^{[2
,3
]}

机构：

[1] Gyeongsang Natl Univ Hosp, Dept Neurosurg, Jinju Si, Gyengsangnam Do, South Korea

[2] Seoul Natl Univ, Dept Neurosurg, Bundang Hosp, Seongnam Si, Gyeonggi Do, South Korea

[3] Seoul Natl Univ, Coll Med, Dept Neurosurg, Seoul, South Korea

[4] Seoul Natl Univ, Bundang Hosp, Dept Neurol, Seongnam Si, Gyeonggi Do, South Korea

[5] Seoul Natl Univ, Coll Med, Dept Neurol, Seoul, South Korea

[6] Seoul Natl Univ, Dept Anesthesiol, Bundang Hosp, Seongnam Si, Gyeonggi Do, South Korea

[7] Seoul Natl Univ, Coll Med, Dept Anesthesiol, Seoul, South Korea

来源：

WORLD NEUROSURGERY | 2024年 / 185卷

关键词：

Brainstem auditory evoked potential; Hemi facial spasm; Microvascular decompression; Postoperative nausea and vomiting; Trigeminal neuralgia; SURGERY; RISK; VERTIGO;

D O I：

10.1016/j.wNEu.2024.03.041

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Background: We performed this study to investigate the effect of intraoperative brainstem auditory evoked potential (IBAEP) changes on the development of postoperative nausea and vomiting (PONV) after microvascular decompression (MVD) for neurovascular cross compression. Methods: A total of 373 consecutive cases were treated with MVD. The use of rescue antiemetics after surgery was used as an objective indicator of PONV. IBAEP monitoring was routinely performed in all. Results: The use of rescue antiemetics was significantly associated with female sex (OR = 3.427; 95% CI, 2.077-5.654; P < 0.001), PCA use (OR = 3.333; 95% CI, 1.861-5.104; P < 0.001), and operation time (OR = 1.017; 95% CI, 1.008-1.026; P < 0.001). A Wave V peak delay of more than 1.0 milliseconds showed a significant relation with the use of rescue antiemetics (OR = 1.787; 95% CI, 1.114-2.867; P = 0.016) and a strong significant relation with the use of rescue antiemetics more than 5 times (OR = 2.426; 95% CI, 1.372-4.290; P = 0.002). Conclusions: A wave V peak delay of more than 1.0 milliseconds might have value as a predictor of PONV after MVD. More detailed neurophysiological studies will identify the exact pathophysiology underlying PONV after MVD.

引用

页码：E1153 / E1159

页数：7

共 23 条

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