Postoperative Nausea and Vomiting with Plastic Surgery
| Autor: | Karol A. Gutowski, C. Bob Basu, Michele A. Manahan, Warren A. Ellsworth, Steven C. Bonawitz, Marta Zielinski, Robert W. Thomsen, Debra J. Johnson |
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| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Time Factors Outpatient surgery MEDLINE Patient characteristics 030230 surgery Severity of Illness Index 03 medical and health sciences 0302 clinical medicine 030202 anesthesiology Severity of illness Humans Medicine Surgery Plastic Intensive care medicine business.industry Plastic Surgery Procedures Plastic surgery Treatment Outcome Ambulatory Surgical Procedures Postoperative Nausea and Vomiting Ambulatory Etiology Antiemetics Female Surgery medicine.symptom business Postoperative nausea and vomiting Follow-Up Studies |
| Zdroj: | Plastic and Reconstructive Surgery. 141:214-222 |
| ISSN: | 0032-1052 |
| DOI: | 10.1097/prs.0000000000003924 |
| Popis: | Ambulatory surgery is common in plastic surgery, where many aesthetic and reconstructive procedures can be performed in hospitals, ambulatory surgery centers, or office-based surgery facilities. Outpatient surgery offers advantages to both the patient and the surgeon by increasing accessibility, flexibility, and convenience; lowering cost; and maintaining high-quality care. To optimize a patient's experience and comfort, postoperative nausea and vomiting (PONV) should be prevented. However, in those patients who develop PONV, it must be appropriately managed and treated. The incidence of PONV is variable. It is often difficult to accurately predict those patients who will develop PONV or how they will manifest symptoms. There are a variety of recommended "cocktails" for PONV prophylaxis and treatments that are potentially effective. The decision regarding the type of treatment given is often more related to provider preference and determination of side-effect profile, rather than targeted to specific patient characteristics, because of the absence of large volumes of reliable data to support specific practices over others. Fortunately, there are several tenets for the successful prevention and treatment of PONV we have extracted from the literature and summarize here. The following is a summary for the practicing plastic surgeon of the current state of the literature regarding PONV cause, risk factors, prophylaxis, and treatment that may serve as a guide for further study and practice management. |
| Databáze: | OpenAIRE |
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