{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T14:02:35Z","timestamp":1791295355472,"version":"4.1.0"},"reference-count":15,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T00:00:00Z","timestamp":1783296000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T00:00:00Z","timestamp":1783296000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Arrhythmia"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    Radiofrequency catheter ablation (RFA) effectively treats pediatric arrhythmias, but postoperative nausea and vomiting (PONV) is a common complication impacting patient experience. This study investigated PONV incidence and its contributing factors in pediatric RFA under deep sedation. This retrospective, single\u2010center cohort study reviewed 70 RFA procedures in 63 pediatric patients (aged \u2264\u200918\u2009years) performed between January 2013 and December 2025. All procedures were managed under a standardized deep sedation protocol. Data on demographics, arrhythmia type, procedural characteristics (including ablation site: right\u2010sided vs. left\u2010sided), anesthetic management, and the occurrence of PONV within 24\u2009h were collected. PONV occurred in 12 of the 70 procedures (17%). The incidence of PONV was significantly higher following left\u2010sided ablation compared to right\u2010sided ablation (8\/24 [33%] vs. 4\/46 [9%];\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.017). Notably, there were no significant differences in procedure time, anesthesia time, number of radiofrequency applications, or the types and dosages of anesthetic agents administered between patients who developed PONV and those who did not. In the majority of these patients, PONV symptoms resolved spontaneously within 24\u2009h without the need for rescue medications. The incidence of PONV was 17% in pediatric patients during RFA under deep sedation. Our findings suggest that most pediatric PONV under deep sedation is transient and clinically manageable without additional medical intervention, although careful observation remains essential during the early postoperative period.\n                  <\/jats:p>","DOI":"10.1002\/joa3.70415","type":"journal-article","created":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T07:46:20Z","timestamp":1783323980000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Postoperative Nausea and Vomiting After Deep Sedation for Radiofrequency Catheter Ablation in Pediatric Patients"],"prefix":"10.1002","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-5848-8418","authenticated-orcid":false,"given":"Yoshikatsu","family":"Takeda","sequence":"first","affiliation":[{"name":"Department of Pediatrics Toyama Prefectural Central Hospital  Toyama Japan"},{"name":"Department of Pediatrics, School of Medicine, Institute of Medical, Pharmaceutical and Health Sciences Kanazawa University  Ishikawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuhei","family":"Fujita","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Toyama Prefectural Central Hospital  Toyama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naoto","family":"Sakumura","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Toyama Prefectural Central Hospital  Toyama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuyuki","family":"Ueno","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Toyama Prefectural Central Hospital  Toyama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kengo","family":"Miyashita","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Toyama Prefectural Central Hospital  Toyama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takeshi","family":"Futatani","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Toyama Prefectural Central Hospital  Toyama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7871-9494","authenticated-orcid":false,"given":"Akio","family":"Chikata","sequence":"additional","affiliation":[{"name":"Department of Cardiology Toyama Prefectural Central Hospital  Toyama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuo","family":"Usuda","sequence":"additional","affiliation":[{"name":"Department of Cardiology Toyama Prefectural Central Hospital  Toyama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hidenori","family":"Iwasaki","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, School of Medicine, Institute of Medical, Pharmaceutical and Health Sciences Kanazawa University  Ishikawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taichi","family":"Nakamura","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, School of Medicine, Institute of Medical, Pharmaceutical and Health Sciences Kanazawa University  Ishikawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kunio","family":"Ohta","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, School of Medicine, Institute of Medical, Pharmaceutical and Health Sciences Kanazawa University  Ishikawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taizo","family":"Wada","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, School of Medicine, Institute of Medical, Pharmaceutical and Health Sciences Kanazawa University  Ishikawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,6]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/joa3.12163"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2019.08.013"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/69.supplement_1.24S"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aep370"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000539-200212000-00019"},{"key":"e_1_2_12_7_1","first-page":"1","article-title":"Postoperative Nausea and Vomiting in Children Undergoing Radiofrequency Catheter Ablation: A 5\u2010Year Review of 475 Patients","volume":"1","author":"Pehora C.","year":"2014","journal-title":"SOJ Anesthesiology & Pain Management"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/pan.13797"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40801-018-0136-y"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/joa3.13012"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0185(199702)247:2<289::AID-AR15>3.0.CO;2-L"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2011.06.030"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.110.937953"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8167.2011.02050.x"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8167.2012.02420.x"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2011.04.010"}],"container-title":["Journal of 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