Download the full-sized PDF of Children's vomiting following posterior fossa surgery: A retrospective study.Download the full-sized PDF



Permanent link (DOI):


Export to: EndNote  |  Zotero  |  Mendeley


This file is in the following communities:

Nursing, Faculty of


This file is in the following collections:

Health Equity

Children's vomiting following posterior fossa surgery: A retrospective study. Open Access


Author or creator
Neufeld, S. M.
Newburn-Cook, C. V.
Schopflocher, D.
Yu, H.
Drummond, J.
Dundon, B.
Additional contributors
fossa surgery
nursing research
Type of item
Journal Article (Published)
Background Nausea and vomiting is a problem for children after neurosurgery and those requiring posterior fossa procedures appear to have a high incidence. This clinical observation has not been quantified nor have risk factors unique to this group of children been elucidated. Methods A six year retrospective chart audit at two Canadian children's hospitals was conducted. The incidence of nausea and vomiting was extracted. Hierarchical multivariable logistic regression was used to quantify risk and protective factors at 120 hours after surgery and early vs. late vomiting. Results The incidence of vomiting over a ten day postoperative period was 76.7%. Documented vomiting ranged from single events to greater than 20 over the same period. In the final multivariable model: adolescents (age 12 to <17) were less likely to vomit by 120 hours after surgery than other age groups; those who received desflurane, when compared to all other volatile anesthetics, were more likely to vomit, yet the use of ondansetron with desflurane decre kelihood. Children who had intraoperative ondansetron were more likely to vomit in the final multivariable model (perhaps because of its use, in the clinical judgment of the anesthesiologist, for children considered at risk). Children who started vomiting in the first 24 hours were more likely to be school age (groups 4 to <7 and 7 to <12) and receive desflurane. Nausea was not well documented and was therefore not analyzed. Conclusion The incidence of vomiting in children after posterior fossa surgery is sufficient to consider all children requiring these procedures to be at high risk for POV. Nausea requires better assessment and documentation.
Date created
License information
Creative Commons Attribution-Non-Commercial 3.0 Unported

Citation for previous publication
Neufeld, S. M., Newburn-Cook, C. V., Schopflocher, D., Dundon, B., Yu, H., & Drummond, J. E. (2009). Children's vomiting following posterior fossa surgery: A retrospective study. BMC Nursing, 8
Link to related item

File Details

Date Uploaded
Date Modified
Audit Status
Audits have not yet been run on this file.
File format: pdf (Portable Document Format)
Mime type: application/pdf
File size: 285504
Last modified: 2015:10:12 15:12:29-06:00
Filename: BMCN_2009_8.pdf
Original checksum: e142f6bc4b6d3d712d8d39241aa05c50
Well formed: false
Valid: false
Status message: Invalid Resources Entry in document offset=4830
Status message: Invalid Resources Entry in document offset=4830
Status message: Invalid Annotation list offset=4830
Status message: Invalid outline dictionary item offset=109741
Activity of users you follow
User Activity Date