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Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

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Updated: Jun 22, 2026

Acupoint Application Combined with Acupressure as an Adjunctive Therapy for Chemotherapy-Induced Nausea and Vomiting
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Published on: June 21, 2024

Nausea and vomiting after office-based anesthesia.

Kerstin Kolodzie1, Christian C Apfel

  • 1Perioperative Clinical Research Core, Department of Anesthesia & Perioperative Care, University of California San Francisco, San Francisco, California 94115, USA.

Current Opinion in Anaesthesiology
|June 11, 2009
PubMed
Summary
This summary is machine-generated.

Postdischarge nausea and vomiting (PDNV) is an under-recognized issue impacting patient recovery and outpatient surgery costs. Identifying at-risk patients with a prediction model is crucial for effective antiemetic prophylaxis.

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Area of Science:

  • Anesthesiology
  • Patient Safety
  • Surgical Outcomes

Background:

  • Postdischarge nausea and vomiting (PDNV) significantly impacts patient recovery and cost-effectiveness in office-based surgery.
  • PDNV is often under-recognized, affecting patient satisfaction and potentially leading to unexpected hospital admissions.
  • Current data on PDNV incidence and optimal treatment after outpatient anesthesia are limited.

Purpose of the Study:

  • To review the incidence and risk factors associated with PDNV.
  • To discuss current prophylaxis and treatment strategies for PDNV.
  • To highlight the need for a predictive model to identify patients at risk for PDNV.

Main Methods:

  • Literature review of PDNV incidence, risk factors, and management strategies.
  • Analysis of existing data on PDNV impact on recovery and hospital admissions.
  • Discussion of potential antiemetic agents for prophylaxis.

Main Results:

  • PDNV prolongs recovery time and can delay discharge from postanesthesia care units.
  • PDNV is a leading cause of unexpected hospital admission following outpatient surgery.
  • A predictive model is needed to identify high-risk patients who may benefit from specific antiemetics like transdermal scopolamine, aprepitant, or palonosetron.

Conclusions:

  • PDNV is an under-recognized problem in outpatient anesthesia settings.
  • Further research is essential to develop a validated prediction model for PDNV risk.
  • Accurate risk identification will enable targeted antiemetic prophylaxis, improving safety, quality, and patient satisfaction.