Postoperative nausea and vomiting: risk factors, prediction tools, and algorithms
Tobias Schlesinger, Patrick Meybohm, Peter Kranke
Abstract
PURPOSE OF REVIEW: Postoperative/postdischarge nausea and vomiting (PONV/PDNV) remain relevant issues in perioperative care. Especially in ambulatory surgery, PONV can prevent discharge or lead to unplanned readmission. RECENT FINDINGS: The evidence for the management of PONV is now quite good but is still inadequately implemented. A universal, multimodal rather than risk-adapted approach for PONV prophylaxis is now recommended. The evidence on PDNV is insufficient. SUMMARY: PDNV management is based primarily on consequent prophylaxis and therapy of PONV.
Topics & Concepts
MedicinePostoperative nausea and vomitingAmbulatoryPerioperativeVomitingIntensive care medicineNauseaMEDLINEAnesthesiaSurgeryLawPolitical scienceNausea and vomiting managementCardiac, Anesthesia and Surgical OutcomesEnhanced Recovery After Surgery