The impact of nasogastric tube gastric decompression on postoperative nausea and vomiting in orthognathic surgery

Abstract

The emetogenic effect of ingested blood is believed to be a major precipitating factor in the development of postoperative nausea and vomiting (PONV) following orthognathic surgery. This study aimed to determine whether perioperative nasogastric decompression with a nasogastric tube reduces the incidence of PONV. A randomized control trial of 133 patients was conducted, and participants were assigned to receive perioperative nasogastric decompression (n=64) or no decompression (n=69). Nausea and vomiting were assessed in the twenty-four-hour postoperative period and secondary outcomes evaluated patient and perioperative clinical factors associated with PONV. Nasogastric decompression did not significantly reduce PONV, although a lower incidence of symptoms was observed in the nasogastric decompression group. Opioid use was the only variable independently associated with increased PONV. These findings suggest that nasogastric decompression alone does not significantly reduce PONV following orthognathic surgery, but may be a useful intervention as part of a multimodal prevention strategy.