THE IMPACT OF SIMPLE CIGARETTE SMOKING ON POST OPERATIVE NAUSEA AND VOMITING IN ELECTIVE SURGERY UNDER GENERAL ANESTHESIA AT DISTRICT HEADQUATER HOSPITAL PARACHINAR

Abstract

Background:

Post-operative Nausea and Vomiting (PONV) is a common complication after GA. Evidence suggests cigarette smoking may have a complex effect on PONV incidence.

Objectives:

To assess the impact of simple cigarette smoking on Post operative Nausea in patients undergoing Elective Surgery under GA at DHQ Hospital Parachinar and also to assess the impact of simple cigarette smoking on Post operative Vomiting in patients undergoing Elective Surgery under GA at DHQ Hospital Parachinar.

 Material and Methods:

A Descriptive cross-sectional study of 70 current smokers under GA, using purposive sampling, assessed smoking history and 24 hrs postoperative PONV via descriptive statistics.

Result:

Among 70 smokers, 61.4% had no PONV, 38.6% developed symptoms (most commonly both nausea and vomiting at 20%). The middle aged group (31-45 yrs) showed the highest symptom free rate (62.2%).

Conclusion:

Cigarette smoking was associated with a reduced incidence of PONV in this study population. However, this finding is not intended to promote cigarette use, given it well-documented overall health risks. Smoking status should be considered a significant variable in preoperative risk assessment.