Why the study?
An updated comprehensive appraisal of the literature was needed to inform management of postoperative nausea and vomiting including new therapies and enhanced recovery protocols.
The 4th consensus guidelines provide updated, evidence-based recommendations for the assessment and management of postoperative nausea and vomiting.
Answers are grounded in this paper and cite their sources.
These guidelines should update perioperative PONV protocols now; extends prior consensus with new evidence on risk assessment and recovery.
In this issue of Anesthesia & Analgesia, an international panel of experts convened to appraise the current literature that informs the management of postoperative nausea and vomiting (PONV). The result is the fourth consensus guidelines which offer an exhaustive review of several key areas: assessment of perioperative risk for PONV, efficacy of pharmacologic prophylaxis including new therapeutic agents, efficacy of rescue therapy, distinctions in managing the pediatric population, and the role of PONV prophylaxis in enhanced recovery protocols. This infographic highlights specific elements of their report, primarily the approach to managing PONV through enhanced recovery pathways as well as 3 new medications now available in our pharmacologic armamentarium. The reader is strongly encouraged to review these guidelines in their entirety for an in-depth understanding of the principles and evidence underlying PONV management. PDNV indicates postdischarge nausea and vomiting; PONV, postoperative nausea and vomiting.
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Naveen Nathan (2020) conducted a review in Postoperative nausea and vomiting (PONV). Consensus guidelines for PONV management was evaluated. The fourth consensus guidelines provide an exhaustive review of perioperative risk assessment, pharmacologic prophylaxis, rescue therapy, and enhanced recovery protocols for managing PONV.
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