Postoperative Nausea and Vomiting.
- Author:
Hyun Chul LIM
1
Author Information
1. Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea. mdlhc@daum.net
- Publication Type:Review
- Keywords:
Postoperative nausea and vomiting
- MeSH:
Cholinergic Antagonists;
Dexamethasone;
Dopamine;
Humans;
Incidence;
Pain, Postoperative;
Postoperative Nausea and Vomiting;
Prevalence;
Risk Factors;
Serotonin
- From:Korean Journal of Medicine
2012;82(5):537-542
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Postoperative nausea and vomiting (PONV) is considered as a main cause of dissatisfaction after surgery with postoperative pain. Overall incidence of PONV is 30%, and the incidence rate can increase up to 70-80% in high-risk patient groups. The causes of PONV are multifactorial and can largely be categorized as patient risk factors, surgical procedure, and anaesthetic technique. Pharmacological treatments including dopamine antagonist, anti-histamines, anticholinergics, dexamethasone, neurokinin-1 antagonists, and serotonin antagonist are used to prevent and treat PONV. This article reviews the prevalence, mechanisms, and risk factors of PONV, and how to prevent and treat it.
