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consensus on ponv

Robert J Hawker, Ann McKillop, Stephen Jacobs
PURPOSE: Internationally there is no consensus on the indicators essential for determining safe recovery from anesthesia and patient readiness for discharge from the postanesthesia care unit (PACU). DESIGN: Integrative review. METHODS: Using the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) as a search strategy, the literature related to PACU discharge scores were evaluated and organized into themes. FINDINGS: The traditional components of airway support, oxygenation, sedation, and circulation are common within many first stage PACU discharge scores...
December 2017: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
Daniel Gero, Olivier Gié, Martin Hübner, Nicolas Demartines, Dieter Hahnloser
PURPOSE: Postoperative ileus (POI) is a frequent complication after abdominal surgery; nonetheless, it remains poorly defined. Our aim was to achieve an international consensus among leading colorectal surgeons on definition, prevention, and treatment of POI. METHODS: Thirty-five experts from five continents participated in a three-round Delphi process. Round 1 contained open-ended questions on POI and postoperative nausea and vomiting (PONV). Round 2 included closed-ended questions...
February 2017: Langenbeck's Archives of Surgery
Tong J Gan, Pierre Diemunsch, Ashraf S Habib, Anthony Kovac, Peter Kranke, Tricia A Meyer, Mehernoor Watcha, Frances Chung, Shane Angus, Christian C Apfel, Sergio D Bergese, Keith A Candiotti, Matthew Tv Chan, Peter J Davis, Vallire D Hooper, Sandhya Lagoo-Deenadayalan, Paul Myles, Greg Nezat, Beverly K Philip, Martin R Tramèr
The present guidelines are the most recent data on postoperative nausea and vomiting (PONV) and an update on the 2 previous sets of guidelines published in 2003 and 2007. These guidelines were compiled by a multidisciplinary international panel of individuals with interest and expertise in PONV under the auspices of the Society for Ambulatory Anesthesia. The panel members critically and systematically 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...
January 2014: Anesthesia and Analgesia
Yannick Cerantola, Massimo Valerio, Beata Persson, Patrice Jichlinski, Olle Ljungqvist, Martin Hubner, Wassim Kassouf, Stig Muller, Gabriele Baldini, Francesco Carli, Torvind Naesheimh, Lars Ytrebo, Arthur Revhaug, Kristoffer Lassen, Tore Knutsen, Erling Aarsether, Peter Wiklund, Hitendra R H Patel
PURPOSE: Enhanced recovery after surgery (ERAS) pathways have significantly reduced complications and length of hospital stay after colorectal procedures. This multimodal concept could probably be partially applied to major urological surgery. OBJECTIVES: The primary objective was to systematically assess the evidence of ERAS single items and protocols applied to cystectomy patients. The secondary objective was to address a grade of recommendation to each item, based on the evidence and, if lacking, on consensus opinion from our ERAS Society working group...
December 2013: Clinical Nutrition: Official Journal of the European Society of Parenteral and Enteral Nutrition
Anthony L Kovac
New antiemetic drug developments, formulations, guidelines, risk evaluation, and controversies have occurred in the area of postoperative nausea and vomiting (PONV). These developments have helped improve our understanding of the prevention and treatment of PONV in the postanesthesia care unit and after discharge home or to the hospital ward. Antiemetic drug research has resulted in the introduction of the second-generation 5-hydroxytryptamine-3 (5-HT3) receptor antagonist palonosetron and the neurokinin-1 (NK-1) receptor antagonist aprepitant, as well as new data on existing antiemetics...
September 2013: Drugs
Jung-Hee Ryu, Young-Tae Jeon, Jung-Won Hwang, A-Young Oh, Ji-Yeon Moon, Young-Jin Ro, Chong Soo Kim, Chen Chen, Christian C Apfel, Sang-Hwan Do
BACKGROUND: Patients undergoing general anesthesia for laparoscopic cholecystectomy have a high risk of postoperative nausea and vomiting (PONV) with incidences up to 75%. Ramosetron, a serotonin subtype 3 (5-HT(3)) antagonist, has been shown to be effective as an antiemetic after chemotherapy and surgery. Consensus guidelines recommend a combination of antiemetic therapies in high-risk groups. Until now, no published data have been available on the use of combination oral plus intravenous ramosetron...
September 2011: Clinical Therapeutics
C C Apfel, P Kranke, S Piper, D Rüsch, H Kerger, M Steinfath, K Stöcklein, D R Spahn, T Möllhoff, K Danner, A Biedler, M Hohenhaus, B Zwissler, O Danzeisen, H Gerber, F-J Kretz
There are no consensus guidelines for the management of postoperative nausea and vomiting (PONV) in German speaking countries. This meeting was intended to develop such guidelines on which individual health care facilities can derive their specific standard operating procedures (SOPs). Anesthesiologists reviewed published literature on key topics which were subsequently discussed during two meetings. It was emphasized that recommendations were based on the best available evidence. The clinical relevance of individual risk factors should be viewed with caution since even well proven risk factors, such as the history of PONV, do not allow the identification of patients at risk for PONV with a satisfactory sensitivity or specificity...
November 2007: Der Anaesthesist
Susan J Skledar, Brian A Williams, Manuel C Vallejo, Patricia L Dalby, Jonathan H Waters, Ronald Glick, Michael L Kentor
For ondansetron, dexamethasone, and droperidol (when used for prophylaxis), each is estimated to reduce risk of postoperative nausea and/or vomiting (PONV) by approximately 25%. Current consensus guidelines denote that patients with 0-1 risk factors still have a 10-20% risk of encountering PONV, but do not yet advocate routine prophylaxis for all patients with 10-20% risk. In ambulatory surgery, however, multimodal prophylaxis has gained favor, and our previously published experience with routine prophylaxis has yielded PONV rates below 10%...
2007: TheScientificWorldJournal
(no author information available yet)
No abstract text is available yet for this article.
December 2006: OR Manager
L H Eberhart, A M Morin, T W Felbinger, Y Falkner, M Georgieff, W Seeling
OBJECTIVE: Although an increasing number of studies concerning postoperative nausea and vomiting (PONV) have been performed, we do not know, what anaesthesiologists think about this problem and how they handle it in their daily routine. METHODS: A survey was performed involving anesthesiologists at 30 institutions of different size. 474 out of 1000 questionnaires were returned. RESULTS: When asked what kind of general anaesthesia they prefere in a woman at a very high risk to suffer PONV, the following answers were obtained: anaesthesia induction with propofol (78%), thiopentone (17%), etomidate (5%)...
September 1998: Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie: AINS
O H Wilder-Smith, N C Martin, A Morabia
Managing postoperative nausea and vomiting (PONV) depends on awareness of the problem, the therapeutic measures available, and effective implementation control systems. We mailed 616 PONV questionnaires to all 129 Swiss hospitals with anesthesiological and surgical departments. The responses [192 (31%) completed questionnaires from 87 (67%) hospitals] are representative of Swiss hospital anesthesiologists and surgeons. Anesthesiologists' perceptions of PONV are closer to those found in the literature than surgeons'...
April 1997: Anesthesia and Analgesia
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