Postoperative Nausea and Vomiting and Outcome

@article{Scuderi2003PostoperativeNA,
  title={Postoperative Nausea and Vomiting and Outcome},
  author={P. Scuderi and L. Conlay},
  journal={International Anesthesiology Clinics},
  year={2003},
  volume={41},
  pages={165-174}
}
The concept of evidence-based medicine has gained considerable support over the past decade. It is an approach that makes use of a systematic evaluation of the scientific information that is available related to a particular topic or area. There are three components to an evidence-based evaluation. An appropriate question must first be formulated. Because it is the scientific literature that is the foundation for the recommendations in an evidence-based approach to patient management… Expand

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Paper Mentions

Interventional Clinical Trial
The purpose of this study is to determine if Osteopathic Manipulative Treatment (OMT) is effective in reducing nausea and vomiting experienced by patients recovering from anesthesia… Expand
ConditionsPostoperative Nausea and Vomiting
InterventionProcedure
Prevalence of postoperative nausea and vomiting: A systematic review and meta-analysis
TLDR
Considering the high prevalence of PONV and the goal to better control it, it is necessary to use high cost-effective approaches and recommendations and to educate health caregivers and patients. Expand
What are the risk factors for nausea and vomiting after neurosurgery? A systematic review.
TLDR
Overall, the methodological quality of the studies was fair, with few studies controlling for confounders and many with limited explanations of how the risk factors and/or outcomes were measured. Expand
Evidence-based analysis of risk factors for postoperative nausea and vomiting.
TLDR
The most reliable independent predictors of PONV were female gender, history of PonV or motion sickness, non-smoker, younger age, duration of anaesthesia with volatile anaesthetics, and postoperative opioids. Expand
Tolerability of acute postoperative pain management: nausea, vomiting, sedation, pruritus, and urinary retention. Evidence from published data.
TLDR
The incidence of nausea and excessive sedation decreased over the period 1980-99, but the incidence of vomiting, pruritus, and urinary retention did not, and Acute Pain Services should aim for incidences less than this standard of care. Expand
Factors Associated with Discontinuation of Postoperative Intravenous Patient Controlled Analgesia
TLDR
It is necessary to provide additional medication and nursing interventions to reduce nausea, which is the symptom associated with PCA discontinuation, especially in the operation of female subjects and thyroidectomy under TIVA. Expand
Prevalence and risk factors of post-operative nausea and vomiting in a tertiary-care hospital: A cross-sectional observational study
TLDR
The incidence of PONV in the Indian population was found to be 25.6%, and despite use of antiemetics (single or dual) being given as part of the institutional protocol, the incidence was still high. Expand
Lesson 251: PreAnesthetic Assessment of the Patient With a History Of Prolonged Postoperative Nausea and Vomiting
The author and reviewer have no relationships with pharmaceutical companies or manufacturers of products to disclose. This educational activity may contain discussion of published and/orExpand
Retracted: Prevention of postoperative vomiting with granisetron in paediatric patients with and without a history of motion sickness.
TLDR
‘vomiting after paediatric strabismus surgery’, by Fujii Y, Saitoh Y, Tanaka H, and Toyooka H, has been retracted by agreement between the journal Editor, Neil Morton, and Blackwell Publishing Ltd. Expand
Influence of perioperative nonsteroidal anti-inflammatory drugs on complications after gastrointestinal surgery: A meta-analysis.
TLDR
The meta-analysis suggests that postoperative NSAIDs, especially nonselectiveNSAIDs, could increase the incidence of anastomotic leak and NSAIDs could decrease postoperative nausea and vomiting and intestinal obstruction, but showed no difference in cardiovascular events and surgical site infection as compared with other analgesics. Expand
Postoperative Nausea and Vomiting in the Plastic Surgery Patient
TLDR
A prophylactic regimen was identified that demonstrated a decrease in the incidence of PONV from the published incidence of 22% to 3%, and the regimen includes the use of multiple antiemetic agents. Expand
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TLDR
The reduction in the odds of PONV and vomiting is significant in the overall analysis and the subgroup analyses comparing 5-HT3 receptor antagonists with droperidol and metoclopramide. Expand
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Efficacy, Dose‐Response, and Safety of Ondansetron in Prevention of Postoperative Nausea and Vomiting: A Quantitative Systematic Review of Randomized Placebo‐controlled Trials
TLDR
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TLDR
The most important predictive factors associated with an increased risk for nausea and vomiting were female gender, a previous history of postoperative sickness, a longer duration of surgery, nonsmoking and a history of motion sickness. Expand
Which clinical anesthesia outcomes are important to avoid? The perspective of patients.
TLDR
Avoiding nausea/vomiting, incisional pain, and gagging on the endotracheal tube was a high priority for most patients, and whether clinicians can improve the quality of anesthesia by designing anesthesia regimens that most closely meet each individual patient's preferences for clinical outcomes deserves further study. Expand
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The attending physician on duty when a poor, 45-year-old man presents to the emergency department of a general hospital in the Philippines has severe chest pain for 2 hours, associated with clammy perspiration, and decides whether to offer this patient a thrombolytic agent. Expand
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