کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4286210 1611979 2015 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Post-operative nausea and vomiting: Update on predicting the probability and ways to minimize its occurrence, with focus on ambulatory surgery
ترجمه فارسی عنوان
تهوع و استفراغ پس از عمل: به روز رسانی در مورد پیش بینی احتمال و راه های به حداقل رساندن وقوع آن با تمرکز بر عمل جراحی بلافاصله
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی عمل جراحی
چکیده انگلیسی


• Postoperative nausea and vomiting (PONV) is still not uncommon after surgery and anaesthesia.
• It is still not possible to guarantee that an individual patient will not experience PONV.
• There are several factors contributing to the occurrence of PONV.
• There is a need for proper risk assessment.
• There is a need for further studies how to identify patients at risk.

Postoperative nausea and vomiting “the little big problem” after surgery/anaesthesia is still a common side-effect compromising quality of care, delaying discharge and resumption of activities of daily living. A huge number of studies have been conducted in order to identify risk factors, preventive and therapeutic strategies. The Apfel risk score and a risk based multi-modal PONV prophylaxis is advocated by evidence based guidelines as standards of care but is not always followed. Tailored anaesthesia and pain management avoiding too liberal dosing of anaesthetics and opioid analgesics is also essential in order to reduce risk. Thus multi-modal opioid sparing analgesia and a risk based PONV prophylaxis should be provided in order to minimise the occurrence. There is however still no way to guarantee an individual patient that he or she should not experience any PONV. Further studies are needed trying to identify risk factors and ways to tailor the individual patient prevention/therapy are warranted.The present paper provides a review around prediction, factors influencing the occurrence and the management of PONV with a focus on the ambulatory surgical patient.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: International Journal of Surgery - Volume 15, March 2015, Pages 100–106
نویسندگان
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