Society for Ambulatory Anesthesia guidelines for the management of postoperative nausea and vomiting.
The present guidelines were compiled by a multidisciplinary international panel of individuals with interest and expertise in postoperative nausea and vomiting (PONV) under the auspices of The Society of Ambulatory Anesthesia. The panel critically evaluated the current medical literature on PONV to provide an evidence-based reference tool for the management of adults and children who are undergoing surgery and are at increased risk for PONV. In brief, these guidelines identify risk factors for PONV in adults and children; recommend approaches for reducing baseline risks for PONV; identify the most effective antiemetic monotherapy and combination therapy regimens for PONV prophylaxis; recommend approaches for treatment of PONV when it occurs; and provide an algorithm for the management of individuals at increased risk for PONV.
Gan
Tong J
TJ
Department of Anesthesiology, Duke University Medical Center, Durham, North Carolina 27710, USA. gan00001@mc.duke.edu
Meyer
Tricia A
TA
Apfel
Christian C
CC
Chung
Frances
F
Davis
Peter J
PJ
Habib
Ashraf S
AS
Hooper
Vallire D
VD
Kovac
Anthony L
AL
Kranke
Peter
P
Myles
Paul
P
Philip
Beverly K
BK
Samsa
Gregory
G
Sessler
Daniel I
DI
Temo
James
J
Tramèr
Martin R
MR
Vander Kolk
Craig
C
Watcha
Mehernoor
M
D000328:Adult; D000556:Ambulatory Surgical Procedures / Q000379:methods / Q000592:standards*; D000758:Anesthesia / Q000379:methods / Q000592:standards*; D002648:Child; D006801:Humans; D020250:Postoperative Nausea and Vomiting / Q000517:prevention & control / Q000628:therapy*; D012307:Risk Factors; D012955:Societies, Medical / Q000592:standards*