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Post-operative nausea and vomiting: Update on predicting the probability and ways to minimize its occurrence, with focus on ambulatory surgery
Department of Anaesthesia and Intensive Care, Institution for Clinical Science, Karolinska Institutet, Danderyds Hospital, Stockholm, Sweden.
Orebro University Hospital. Department of Anaesthesiology and Intensive Care.
Department of Anaesthesia and Intensive Care, Institution for Clinical Science, Karolinska Institutet, Danderyds Hospital, Stockholm, Sweden.
Department of Anaesthesia and Intensive Care, Institution for Clinical Science, Karolinska Institutet, Danderyds Hospital, Stockholm, Sweden.ORCID iD: 0000-0002-5829-1803
2015 (English)In: International Journal of Surgery, ISSN 1743-9191, E-ISSN 1743-9159, Vol. 15, 100-106 p.Article, review/survey (Refereed) Published
Abstract [en]

Postoperative nausea and vomiting "the little big problem" after surgery/anaesthesia is still a common side-effect compromising quality of care, delaying discharge and resumption of activities of daily living. A huge number of studies have been conducted in order to identify risk factors, preventive and therapeutic strategies. The Apfel risk score and a risk based multi-modal PONV prophylaxis is advocated by evidence based guidelines as standards of care but is not always followed. Tailored anaesthesia and pain management avoiding too liberal dosing of anaesthetics and opioid analgesics is also essential in order to reduce risk. Thus multi-modal opioid sparing analgesia and a risk based PONV prophylaxis should be provided in order to minimise the occurrence. There is however still no way to guarantee an individual patient that he or she should not experience any PONV. Further studies are needed trying to identify risk factors and ways to tailor the individual patient prevention/therapy are warranted.

The present paper provides a review around prediction, factors influencing the occurrence and the management of PONV with a focus on the ambulatory surgical patient.

Place, publisher, year, edition, pages
Elsevier, 2015. Vol. 15, 100-106 p.
Keyword [en]
Postoperative nausea and vomiting PONV, Ambulatory, Anaesthesia, Surgery, Prediction, Prophylaxis
National Category
Surgery
Research subject
Surgery
Identifiers
URN: urn:nbn:se:oru:diva-56553DOI: 10.1016/j.ijsu.2015.01.024ISI: 000350860300020PubMedID: 25638733Scopus ID: 2-s2.0-84923857097OAI: oai:DiVA.org:oru-56553DiVA: diva2:1082758
Note

Funding Agencies:

Baxter  

Abbott  

MSD  

Phizer  

MundiPharma  

Maquet  

PhaseIn 

Available from: 2017-03-17 Created: 2017-03-17 Last updated: 2017-04-07Bibliographically approved

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