Related Experiment Video
Updated: Jun 28, 2026
05:56
Acupoint Application Combined with Acupressure as an Adjunctive Therapy for Chemotherapy-Induced Nausea and Vomiting
Published on: June 21, 2024
A challenging problem that concerns the aesthetic surgeon: postoperative nausea and vomiting
Tolga Eryilmaz1, Ayse Sencan, Nuray Camgoz
1Department of Plastic, Reconstructive and Aesthetic Surgery, Gazi University Faculty of Medicine, Ankara, Turkey. mdtolgaer@yahoo.com
Annals of Plastic Surgery
|October 25, 2008
Summary
Postoperative nausea and vomiting (PONV) are common after aesthetic surgery. Female gender, surgical site, and prior PONV history are key risk factors, with trunk surgery posing a higher risk.
Area of Science:
- Plastic Surgery
- Anesthesiology
- Patient Safety
Background:
- Postoperative nausea and vomiting (PONV) are frequent complications following surgical procedures.
- In aesthetic surgery, PONV can lead to adverse outcomes such as hematoma, wound dehiscence, and decreased patient satisfaction.
- Identifying PONV risk factors is crucial for effective management in aesthetic surgery patients.
Purpose of the Study:
- To determine the incidence of PONV in patients undergoing aesthetic surgery.
- To identify significant risk factors associated with PONV in this patient population.
- To compare the efficacy of ondansetron and metoclopramide in PONV prevention.
Main Methods:
- A study involving 212 patients undergoing common aesthetic surgical procedures.
- Analysis of patient demographics, surgical site, and medical history to identify risk factors.
- Evaluation of antiemetic efficacy, specifically comparing ondansetron and metoclopramide.
Main Results:
- Female gender, surgical site (trunk vs. head/neck), and a history of PONV were identified as significant risk factors.
- Postoperative opiate use and history of motion sickness were not found to be significant risk factors.
- Ondansetron demonstrated greater effectiveness in preventing PONV compared to metoclopramide.
Conclusions:
- Preoperative assessment of risk factors for PONV is essential in aesthetic surgery.
- Patients identified with risk factors are suitable candidates for prophylactic antiemetic treatment.
- Effective PONV prevention strategies can significantly improve postoperative patient comfort and satisfaction.
Related Concept Videos
01:28Chemotherapy-Induced Nausea and Vomiting: Neurokinin-1 Receptor Antagonists
Neurokinin 1 (NK1) receptors are distributed across the GI tract, vagal afferents, and key CNS regions including the central vomiting center and chemoreceptor trigger zone (CTZ) Chemotherapy agents stimulate enterochromaffin cells in the gastrointestinal (GI) tract to release large amounts of substance P (SP). SP is a neuropeptide released by specific sensory nerves in response to many different stressors, including those in the GI mucosa affected by chemotherapy. SP binds and activates these...
01:27Chemotherapy-Induced Nausea and Vomiting: 5-HT3 Receptor Antagonists
5-HT3 receptor antagonists, such as dolasetron, granisetron (Kytril), ondansetron (Zofran), and palonosetron (Axoli), are crucial in managing chemotherapy-induced nausea and vomiting (CINV) and postoperative nausea. These drugs selectively block 5-HT3 receptors in the visceral vagal and spinal afferent nerves, chemoreceptor trigger zone, and the vomiting center. They have a rapid onset of action and can be given as a single dose before chemotherapy. Ondansetron and granisetron, in particular,...
01:25Peptic Ulcer Disease V: Surgical Management and Nursing Care
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
01:29Chemotherapy-Induced Nausea and Vomiting: Dopamine Receptor Antagonists
Dopamine receptor antagonists, also known as antipsychotic agents, are critical in managing chemotherapy-induced vomiting. These antiemetic agents block dopamine receptors in the chemoreceptor trigger zone (CTZ), inhibiting signal transmission to the vomiting center. Antipsychotic agents encompass phenothiazines (PTZ), butyrophenones, benzamides, and thienobenzodiazepines (Zyprexa), which are utilized for their antiemetic and sedative properties.
Phenothiazines, such as prochlorperazine...
Phenothiazines, such as prochlorperazine...
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
01:22Aneurysm IV: Nursing Management
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...