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Published on: June 21, 2024
[Postoperative nausea and vomiting-recommendations for its prevention and therapy in paediatric medicine]
T Schlesinger1, K Becke-Jakob2, C B Eich3
1Klinik und Poliklinik für Anästhesiologie, Intensivmedizin, Notfallmedizin und Schmerztherapie, Universitätsklinikum Würzburg, Würzburg, Deutschland.
Insights
New guidelines address post-operative nausea and/or vomiting (PONV) in children. A fixed dual prophylaxis strategy is recommended for all children aged three and older to prevent and treat PONV effectively.
Area of Science:
- Pediatric Anesthesiology
- Evidence-Based Medicine
- Clinical Practice Guidelines
Context:
- Post-operative nausea and/or vomiting (PONV) is a significant cause of discomfort in pediatric patients.
- Existing recommendations for PONV management in children required revision based on current literature.
- PONV is a major challenge in pediatric recovery rooms and the post-operative period.
Purpose:
- To revise and update evidence-based recommendations for the prevention and treatment of PONV in children.
- To provide clear, actionable guidelines for pediatric anesthesia professionals.
- To improve the management of PONV and reduce post-operative discomfort in pediatric patients.
Summary:
- Revised guidelines emphasize effective individual measures for PONV prevention and therapy.
- A fixed dual prophylaxis is recommended for routine clinical implementation in children aged three years and older.
- The updated recommendations are based on a comprehensive review of current scientific literature.
Impact:
- Aims to reduce the incidence and severity of PONV in pediatric surgical patients.
- Facilitates standardized and effective PONV management in clinical practice.
- Enhances the overall post-operative recovery experience for children.
Abstract:
Post-operative nausea and/or vomiting (PONV/POV) are among the biggest problems occurring in the paediatric recovery room and in the course of the following post-operative period. Apart from pain and emergence delirium, PONV is one of the main causes of post-operative discomfort in children. The DGAI Scientific Working Group on Paediatric Anaesthesia already worked out recommendations for the prevention and treatment of PONV in children years ago. These recommendations have now been revised by a team of experts, the current literature has been reviewed, and evidence-based core recommendations have been consented. Key elements of the new recommendations consist of effective individual measures for prevention and therapy, next to the implementation of a fixed dual prophylaxis in the clinical routine applicable to all children ≥ 3 years of age.
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