Univ.-Prof. Dr. Peter Kranke widmete seinen Vortrag am Kongress der Deutschen Gesellschaft für Anästhesiologie und Intensivmedizin (DGAI) jüngst veröffentlichten US-Leitlinie zu postoperativer Übelkeit Erbrechen (PONV).

background: postoperative nausea and vomiting (ponv) is a frequent and unpleasant adverse event associated with surgery. the reported incidence of ponv after laparoscopic cholecystectomy (lc) is quite high. despite the use of different drugs to prevent or relieve ponv, it continues to be undermanaged. recently, studies have been undertaken to determine if gabapentin can be useful for the prevent...

AIM To determine the incidence of postoperative nausea and vomiting (PONV), identify risk factors, assess treatment and its effectiveness. DESIGN A prospective, observational, questionnaire- and interview-based study. SETTING Standard and intensive care units of the following university hospital departments: abdominal, thoracic and vascular surgery; gynecology; plastic and esthetic surgery;...

We studied 100 healthy women undergoing outpatient gynaecological laparoscopy in a randomized, double-blind and placebo-controlled study to evaluate the effect of neostigmine on postoperative nausea and vomiting (PONV). After induction of anaesthesia with propofol, anaesthesia was maintained with sevoflurane and 66% nitrous oxide in oxygen. Mivacurium was used for neuromuscular block. At the en...

BACKGROUND AND AIM Postoperative nausea vomiting (PONV) is the most common symptom in patients post thyroidectomy. Literature search shows conflicting results regarding use of clonidine in PONV prophylaxis. We undertook this randomized controlled double blind trial to compare the efficacy of clonidine with dexamethasone versus ondansetron with dexamethasone for PONV prophylaxis in these patient...

Postoperative nausea and vomiting (PONV) are unpleasant experiences. However, there is no drug that is completely effective in preventing PONV. Whereas cost effectiveness analyses rely on specific health outcomes (e.g., years of life saved), cost-benefit analyses assess the cost and benefit of medical therapy in terms of dollars. We hypothesized that patients were willing to pay for a hypotheti...

Laparoscopic techniques, have rapidly increased in popularity because of its various benefits. They are widely used in daycase surgical operations and are extensively published. However, postoperative nausea vomiting (PONV) is a commonly observed phenomenon after laparoscopic procedures. Its occurrence may increase depending on the anesthetic techniques used. Despite the fact that the use of pr...

OBJECTIVE Postoperative nausea and vomiting (PONV) is a most distressing adverse event for surgical patients with a considerable economic impact .The aim of the present study was to evaluate the effect of clonidine given orally for PONV in patients undergoing anesthesia for outpatient ear surgery. METHODS Sixty patients 30.2 +/- 9.9 years, scheduled for ear surgery, were randomly assigned to ...

E can walk on the moon, and among other scientific miracles, we can perform minimally invasive, keyhole cardiac surgery with "robots". But so far we have not solved the seemingly simple problem of postoperative nausea and vomiting (PONV). It remains one of the final therapeutic challenges and has been a perpetual dilemma since the birth of our specialty. It is the legendary big, "little problem...