ArticleTurkish journal of anaesthesiology and reanimation2026
Oropharyngeal Packing in Nasal Surgery: Effects on Gastric Fullness and Perioperative Safety.
Article in Turkish journal of anaesthesiology and reanimation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: To investigate whether drinking-water-moistened oropharyngeal packing during nasal surgery is associated with ultrasound-assessed gastric fullness and postoperative nausea and vomiting (PONV), compared with no packing. Methods: This single-center, retrospective before-after cohort study included 118 adults undergoing nasal surgery, following an institutional protocol change on December 1, 2024. Sixty patients received oropharyngeal packing moistened with drinking water, and 58 received no packing. All patients received standardized anaesthesia and PONV prophylaxis with dexamethasone 4 mg IV administered after intubation. Packing was placed before surgery and removed before extubation. PONV and throat-related symptoms were recorded at 30 minutes, 2 hours, and 24 hours postoperatively. Gastric fullness was assessed ultrasonographically by measuring gastric antral cross-sectional area (GCSA) and gastric volume before and after extubation. Results: At 30 minutes, PONV was more frequent in the no-packing group (58.6% vs. 18.3%, Conclusion: Drinking-water-moistened oropharyngeal packing was associated with lower postoperative gastric fullness and a lower incidence of early PONV, without increased throat-related symptoms or rescue medication use. These findings indicate associations, not causal effects, and require confirmation in randomized trials.
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