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Postoperative nausea and vomiting occurring within the first 24 hours of surgery are generally considered due to post-anesthetic effects. Gastrointestinal Impairment (GII) is characterized by vomiting, abdominal distention and pain > 24 hours postop.1 In most cases, this is the result of postoperative ileus (POI), generally occurring 2-7 days after surgery, with fewer than 6% of cases due to early postoperative bowel obstruction.2 GII may lead to dehydration, acute kidney injury and the need for readmission.
of patients undergoing major abdominal
surgery will develop POI3
POI readmission rate is tied with surgical sight infection (SSI) as the number 1 cause of readmissions—up to 25%4
3. Vather, R., Trivedi, S. & Bissett, I. Defining Postoperative Ileus: Results of a Systematic Review and Global Survey. J Gastrointest Surg 17, 962–972 (2013).
4. Merkow, R. P., Ju, M. H., Chung, J. W., Hall, B. L., Cohen, M. E., Williams, M. V., Tsai, T. C., Ko, C. Y., & Bilimoria, K. Y. (2015). Underlying reasons associated with hospital readmission following surgery in the United States. JAMA: The Journal of the American Medical Association, 313(5), 483–495.
PrevisEA helps optimize postoperative care pathway decisions that are affected by postoperative ileus or other causes of GII such as: