Treatment of postoperative nausea and vomiting

Postoperative nausea and vomiting

Postoperative nausea and vomiting (PONV) is a long-standing issue, not a new concept in anesthesiology. Despite many studies over the last several decades, PONV remains a significant problem due to its complex mechanism. This review presents a summary of the mechanism underlying the pathogenesis of PONV, focusing on preventive treatment, particularly the use of new drugs. In addition, we discus...

Postoperative Nausea and Vomiting

Controlling postoperative nausea and vomiting

Postoperative nausea and vomiting (PNV) in the ambulatory surgical unit is a continuing and vexing problem. Delayed discharges and patient discomfort have major impact in an outpatient setting. An understanding of the causes and aetiologies of PNV including anaesthetic, surgical and patient factors is critically important in the management of these patients. Therapy begins with a good history, ...

Prevention and treatment of postoperative nausea and vomiting

Side effects of surgical procedures are frequent at postoperative, pain, nausea and vomiting are common. Although there is a major concern with prevention of pain, vomiting at postoperative occurs in about 30% of patients.(1) Postoperative nausea and vomiting (PONV) are defined as development of episodes of nausea and emesis after a surgical act and before hospital discharge. Nausea is defined ...

Transdermal hyoscine and postoperative nausea and vomiting.

Forty-two patients, undergoing major gynaecological surgery, were randomly allocated to have a patch applied to the skin behind one ear, containing either hyoscine or placebo. They were followed up at 24-hour intervals for 3 days postoperatively and divided into matched pairs for statistical analysis. There was a significant (p less than 0.01) reduction in nausea and vomiting in the first 24 ho...