Prevention and Treatment of Postoperative Nausea and Vomiting (PONV): A Review of Current Recommendations and Emerging Therapies

被引:21
|
作者
Jin, Zhaosheng [1 ]
Gan, Tong J. [1 ]
Bergese, Sergio D. [1 ,2 ]
机构
[1] SUNY Stony Brook, Hlth Sci Ctr, Dept Anesthesiol, Stony Brook, NY 11794 USA
[2] SUNY Stony Brook, Dept Neurol Surg, Hlth Sci Ctr, Stony Brook, NY 11794 USA
关键词
antiemetics; enhanced recovery after surgery; postoperative care; postoperative nausea and vomiting; TOTAL INTRAVENOUS ANESTHESIA; PALONOSETRON-DEXAMETHASONE COMBINATION; SURGERY ENHANCED RECOVERY; BRACHIAL-PLEXUS BLOCK; SIMPLIFIED RISK SCORE; DOUBLE-BLIND; PERIOPERATIVE CARE; LAPAROSCOPIC CHOLECYSTECTOMY; GASTROINTESTINAL SURGERY; ANTIEMETIC PROPHYLAXIS;
D O I
10.2147/TCRM.S256234
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Postoperative nausea and vomiting is one of the most frequent adverse events after surgery and anesthesia. It is distressing for the patient and can lead to other postoperative complications. Management of PONV involves a framework of risk assessment, multimodal risk reduction, and prophylactic measures, as well as prompt rescue treatment. There has been a significant paradigm shift in the approach towards PONV prevention. There have also been several emerging therapeutic options for PONV prophylaxis and treatment. In this review, we will discuss the up-to-date PONV management guidelines and highlight novel therapeutic options which have emerged in the last few years.
引用
收藏
页码:1305 / 1317
页数:13
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