How can we best prevent or treat postoperative nausea and vomiting?

J. B. Leslie

Research output: Contribution to journalReview articlepeer-review

5 Scopus citations

Abstract

In pursuit of preventing or rapidly rescuing patients from postoperative nausea and vomiting, new clinical studies provide revised postoperative nausea and vomiting risk prediction tools, risk stratification formulae, comparative trials to identify the most appropriate cost-effective anti-emetics, and several trials recommending the addition of steroids in anti-emetic prophylactic multimodal approaches. Common variables that identify high-risk postoperative nausea and vomiting patients include female sex, a history of postoperative nausea and vomiting or motion sickness, young age, volatile anesthetic agents, nitrous oxide, and the administration of opioids. The most successful approach to the prevention of postoperative nausea and vomiting is multimodal, with combination anti-emetics, dexamethasone, aggressive hydration, the avoidance of opioids, and aggressive pain control.

Original languageEnglish (US)
Pages (from-to)623-627
Number of pages5
JournalCurrent Opinion in Anaesthesiology
Volume14
Issue number6
DOIs
StatePublished - Dec 24 2001

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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