Postoperative Nausea & Vomiting

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June 2019
Home Periop Nursing > Perioperative Practice > Postoperative Nausea & Vomiting

OR leaders see benefits of briefer NPO period

Though long fasting before a surgical procedure is tied to increased patient risks, the outdated guideline of NPO after midnight continues to be practiced by many healthcare organizations. In 1999, the American Society of Anesthesiologists (ASA) revised their fasting guidelines to clear liquids up to 2 hours before surgery and…

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By: Judith M. Mathias, MA, RN
May 17, 2019
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Innovative use for drug reduces postop nausea and vomiting

Editor's Note An innovative use for a known drug, amisulpride, is showing promise as an effective treatment for preventing postoperative nausea and vomiting (PONV), finds this study. Amisulpride works by blocking dopamine signaling in the body. A total of 1,147 patients undergoing general anesthesia, who had three or four PONV…

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By: Judy Mathias
March 16, 2018
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Opioid-free general anesthesia reduces postop nausea

Editor's Note Eliminating opioids from general anesthesia is safe and effective and significantly decreases postoperative nausea, finds this study presented October 23 at the Anesthesiology 2017 annual meeting in Boston. Of 1,009 patients who received general anesthesia without opioids, only 11% experienced postoperative nausea--typically 50% to 80% of patients have…

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By: Judy Mathias
October 24, 2017
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Helping to avoid postdischarge nausea and vomiting

Nausea or vomiting after surgery can cause more distress than the pain, and even with modern anesthetics, it is not as rare as once thought. If the procedure is outpatient, symptoms may arise after the patient is at home, away from medical intervention. Thus, ambulatory surgery centers (ASCs) need to…

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By: OR Manager
January 1, 2013
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Is postop nausea and vomiting hereditary?

Researchers from Penn State College of Medicine have singled out a genetic variation in patients who have postoperative nausea and vomiting (PONV). In the study, the researchers pooled DNA samples from 122 patients with severe PONV. Findings identified 41 genetic targets (called single nucleotide polymorphisms, or SNPs) in these patients…

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By: OR Manager
August 1, 2011
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