Penelope S Villars, Mark Q Veazie, Joel S Berger, Quan M Vu, Alita A Campbell-McAdory, John C Frenzel, Spencer S Kee
Postoperative nausea and vomiting (PONV) remains a ubiquitous concern for surgical outpatients with published rates ranging from 14% to 80%. An evidence-based approach was used to reduce PONV in a high-risk adult outpatient oncology population. The Observe, Orient, Decide, and Act (OODA) Loop, a rapid cycle management strategy, was adapted for use in an outpatient surgery center with six ORs. A PONV prophylaxis protocol was developed and adapted until a stable PONV rate was achieved. A combination of dexamethasone, promethazine, and ondansetron was used in patients with one to three PONV risk factors...
April 2008: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses