Nausea and vomiting after surgery: it is not just postoperative

被引：6
作者：
Lichtor, J. Lance [1 ]
机构：
[1] Yale Univ, Sch Med, Dept Anesthesiol, New Haven, CT 06520 USA
来源：
CURRENT OPINION IN ANESTHESIOLOGY | 2012年 / 25卷 / 06期
关键词：
drug therapy; general anaesthesia; postdischarge nausea and vomiting; postoperative nausea and vomiting; DOUBLE-BLIND; POLYMORPHISMS AFFECT; OUTPATIENT SURGERY; ONDANSETRON; EFFICACY; RECEPTOR; PALONOSETRON; PROPHYLAXIS; ANESTHESIA; FAILURE;
D O I：
10.1097/ACO.0b013e32835956d8
中图分类号：
R614 [麻醉学];
学科分类号：
100217 ;
摘要：
Purpose of review The purpose of this review is to highlight postoperative nausea and vomiting (PONV), to discuss why it occurs, how it might be prevented and then how it can be treated. Recent findings PONV/postdischarge nausea and vomiting (PDNV) is a problem that patients identify as one of the worst, if not the worst problem that can occur after surgery. Therapy is not perfect, yet there are anaesthesia techniques that can help minimize the problem and drugs that can be used both to prevent and also treat the problem once it occurs. There is a genetic basis for why some people experience PONV/PDNV more than others and also why treatment for some is better than others. Summary It is easy to turn the vapourizer dial, but that is a part of the problem. Not everyone reacts the same to drugs. Although PDNV is not as well characterized as PONV, at the very least, avoid an anaesthetic that may make PONV/PDNV worse and be aggressive in treating the problem.
引用
收藏
页码：673 / 679
页数：7
相关论文
共 31 条
[1]   A simplified risk score for predicting postoperative nausea and vomiting -: Conclusions from cross-validations between two centers [J].
Apfel, CC ;
Läärä, E ;
Koivuranta, M ;
Greim, CA ;
Roewer, N .
ANESTHESIOLOGY, 1999, 91 (03) :693-700
[2]   A factorial trial of six interventions for the prevention of postoperative nausea and vomiting [J].
Apfel, CC ;
Korttila, K ;
Abdalla, M ;
Kerger, H ;
Turan, A ;
Vedder, I ;
Zernak, C ;
Danner, K ;
Jokela, R ;
Pocock, SJ ;
Trenkler, S ;
Kredel, M ;
Biedler, A ;
Sessler, DI ;
Roewer, N .
NEW ENGLAND JOURNAL OF MEDICINE, 2004, 350 (24) :2441-2451
[3]  
Blumfeld J., 1899, LANCET, V77, P833, DOI [10.1016/S0140-6736(01)40159-0, DOI 10.1016/S0140-6736(01)40159-0]
[4]   Postoperative impact of regular tobacco use, smoking or snuffing, a prospective multi-center study [J].
Brattwall, M. ;
Stomberg, M. Warren ;
Rawal, N. ;
Segerdahl, M. ;
Houltz, E. ;
Jakobsson, J. .
ACTA ANAESTHESIOLOGICA SCANDINAVICA, 2010, 54 (03) :321-327
[5]   The impact of pharmacogenomics on postoperative nausea and vomiting - Do CYP2D6 allele copy number and polymorphisms affect the success or failure of ondansetron prophylaxis? [J].
Candiotti, KA ;
Birnbach, DJ ;
Lubarsky, DA ;
Nhuch, F ;
Kamat, A ;
Koch, WH ;
Nikoloff, M ;
Wu, L ;
Andrews, D .
ANESTHESIOLOGY, 2005, 102 (03) :543-549
[6]   A randomized, double-blind study to evaluate the efficacy and safety of three different doses of palonosetron versus placebo for preventing postoperative nausea and vomiting [J].
Candiotti, Keith A. ;
Kovac, Anthony L. ;
Melson, Timothy I. ;
Clerici, Giuseppina ;
Gan, Tong Joo .
ANESTHESIA AND ANALGESIA, 2008, 107 (02) :445-451
[7]   Granisetron versus ondansetron treatment for breakthrough postoperative nausea and vomiting after prophylactic ondansetron failure: A pilot study [J].
Candiotti, Keith A. ;
Nhuch, Fani ;
Kamat, Aimee ;
Deepika, Krisnaprasad ;
Arheart, Kristopher L. ;
Birnbach, David J. ;
Lubarsky, David A. .
ANESTHESIA AND ANALGESIA, 2007, 104 (06) :1370-1373
[8]   POSTOPERATIVE NAUSEA AND VOMITING AFTER-DISCHARGE FROM OUTPATIENT SURGERY CENTERS [J].
CARROLL, NV ;
MIEDERHOFF, P ;
COX, FM ;
HIRSCH, JD .
ANESTHESIA AND ANALGESIA, 1995, 80 (05) :903-909
[9]   SINGLE-DOSE INTRAVENOUS ONDANSETRON FOR THE 24-HOUR TREATMENT OF POSTOPERATIVE NAUSEA AND VOMITING [J].
CLAYBON, L .
ANAESTHESIA, 1994, 49 :24-29
[10]   Some factors affecting the incidence of post-anaesthetic vomiting [J].
Davies, RM .
BRITISH MEDICAL JOURNAL, 1941, 1941 :578-580
1234