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Related Experiment Videos

Post-operative nausea and vomiting: do they matter?

M F Watcha1, P F White

  • 1Department of Anesthesiology and Pain Management, University of Texas Southwestern Medical Center, Dallas, USA.

European Journal of Anaesthesiology. Supplement
|May 1, 1995
PubMed
Summary
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Post-operative nausea and vomiting (PONV) remains a significant concern for surgical patients. Advances in antiemetic drugs and altered discharge protocols have successfully reduced the incidence of PONV.

Area of Science:

  • Anesthesiology
  • Pharmacology

Background:

  • Post-operative nausea and vomiting (PONV) is a common and distressing complication following surgery.
  • Despite improvements in surgical outcomes, PONV management has received insufficient attention compared to post-operative pain.
  • Patient-reported impact of PONV can be as severe as surgical pain.

Purpose of the Study:

  • To highlight the significance of PONV as a clinical problem.
  • To review advancements in pharmacological and non-pharmacological strategies for PONV management.
  • To emphasize the need for increased focus on PONV control.

Main Methods:

  • Review of recent pharmacological agents used in PONV prevention and treatment.
  • Discussion of changes in ambulatory care discharge practices.

Related Experiment Videos

  • Analysis of the impact of new anesthetic agents and techniques on PONV incidence.

    • Main Results:

    • Introduction of anti-serotonin agents (e.g., ondansetron, granisetron) has decreased emesis.
    • Use of propofol, eltanolone, and parenteral NSAIDs contributes to reduced PONV.
    • Modified discharge criteria, including removal of pre-discharge fluid intake requirements, have aided in PONV reduction.

    Conclusions:

    • Modern anesthetic and surgical advancements necessitate improved PONV management.
    • Newer antiemetic drugs and revised care protocols have demonstrably reduced PONV incidence.
    • PONV requires greater clinical attention due to its significant patient morbidity.