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Clinical utility of antiemetics and complementary therapies in the prevention of postoperative nausea and vomiting

Authors Collins AS

Received 27 April 2013

Accepted for publication 20 June 2013

Published 21 August 2013 Volume 2013:5 Pages 67—76

DOI https://doi.org/10.2147/CA.S30588

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 4


Angela S Collins

Capstone College of Nursing, University of Alabama, Tuscaloosa, AL, USA; Baptist Princeton, Birmingham, AL, USA

Abstract: Postoperative nausea and vomiting (PONV) is a persistent problem in perianesthesia practice. Approximately 30% of patients receiving anesthesia will experience this complication, which can increase patient dissatisfaction, increase costs, and in some patients precipitate other postoperative complications. During the last three decades, there has been increasing interest and research on best practices to diminish the incidence of this clinical problem, as patient satisfaction is linked to PONV guideline use. Some institutions have low incident rates because of consistent protocol use, and new medication classifications and multiple complementary therapies have been incorporated into daily use. There are several clinically useful guidelines and algorithms used to guide primary prevention strategies, as discussed in this review. However, severe PONV continues to be refractory to available interventions, and the best hope for elimination of this complication may arise from pharmacogenomics.

Keywords: postoperative nausea and vomiting, postanesthesia complications, clinical practice guidelines, pharmacology

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