Postoperative nausea and vomiting in the plastic surgery patient.

Autor: Steely RL; Houston, TX 77002, USA., Collins DR Jr, Cohen BE, Bass K
Jazyk: angličtina
Zdroj: Aesthetic plastic surgery [Aesthetic Plast Surg] 2004 Jan-Feb; Vol. 28 (1), pp. 29-32. Date of Electronic Publication: 2004 May 03.
DOI: 10.1007/s00266-004-3015-8
Abstrakt: Despite great advances in modern medicine, postoperative nausea and vomiting (PONV) continue to be a significant problem without a definitive cure. This article describes a prospective study conducted with 143 plastic surgery patients at a single institution between 1998 and 2000 to identify preoperative risk factors for PONV that may be specific to plastic surgery patients. In addition, a prophylactic regimen was identified that demonstrated a decrease in the incidence of PONV from the published incidence of 22% to 3%. The regimen includes the use of multiple antiemetic agents including ondansetron (Zofran) promethazine (Phenergan), and metoclopramide (Reglan), with the addition of dexamethasone (Decadron) in selected cases
Databáze: MEDLINE