Postoperative nausea and vomiting: risk factors, prediction tools, and algorithms

Tobias Schlesinger; Patrick Meybohm; Peter Kranke

doi:10.1097/ACO.0000000000001220

Postoperative nausea and vomiting: risk factors, prediction tools, and algorithms

Curr Opin Anaesthesiol. 2023 Feb 1;36(1):117-123. doi: 10.1097/ACO.0000000000001220. Epub 2022 Dec 2.

Authors

Tobias Schlesinger¹, Patrick Meybohm, Peter Kranke

Affiliation

¹ Department of Anaesthesiology, Intensive Care, Emergency and Pain Medicine, University Hospital Wuerzburg, Wuerzburg, Germany.

PMID: 36550611
DOI: 10.1097/ACO.0000000000001220

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.

Publication types

Review

MeSH terms

Aftercare
Algorithms
Antiemetics* / therapeutic use
Humans
Patient Discharge
Postoperative Nausea and Vomiting* / diagnosis
Postoperative Nausea and Vomiting* / epidemiology
Postoperative Nausea and Vomiting* / prevention & control
Risk Factors

Substances

Antiemetics