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Postoperative nausea and vomiting
- Source :
- Anaesthesia & Intensive Care Medicine. 7:453-455
- Publication Year :
- 2006
- Publisher :
- Elsevier BV, 2006.
-
Abstract
- Postoperative nausea and vomiting (PONV) is a common and distressing event following surgery. About one in four patients are affected. It has an associated morbidity and mortality caused by both the direct effects of vomiting and the difficulties in managing other aspects of postoperative care. This article discusses the five principal areas to be considered when assessing and managing the risks of PONV: premorbid patient issues; the immediate preoperative situation; the nature of the proposed surgery; anaesthetic technique; and the postoperative circumstances. Advances in the understanding of normal physiology and the pathophysiological states induced by any surgical intervention have revealed that a multimodal approach is essential to manage this condition. Treatment must begin in the preoperative period and aim to reduce both physical and psychological risk factors. The anaesthetic technique must be tailored to the type and length of surgery, and a postoperative plan created to reduce the incidence of PONV and provide effective treatments. The importance of the role of polypharmacy is also discussed.
- Subjects :
- Polypharmacy
medicine.medical_specialty
business.industry
Nausea
Incidence (epidemiology)
Direct effects
Multimodal therapy
Critical Care and Intensive Care Medicine
Anesthesiology and Pain Medicine
Intervention (counseling)
medicine
Vomiting
medicine.symptom
Intensive care medicine
business
Postoperative nausea and vomiting
Subjects
Details
- ISSN :
- 14720299
- Volume :
- 7
- Database :
- OpenAIRE
- Journal :
- Anaesthesia & Intensive Care Medicine
- Accession number :
- edsair.doi...........0f50407e4be035671f02cbfe416d0ac5