Jin Zhaosheng, Gan Tong J, Bergese Sergio D
Department of Anesthesiology, Stony Brook University Health Science Center, Stony Brook, NY 11794-8480, USA.
Department of Neurological Surgery, Stony Brook University Health Science Center, Stony Brook, NY 11794-8480, USA.
Ther Clin Risk Manag. 2020 Dec 31;16:1305-1317. doi: 10.2147/TCRM.S256234. eCollection 2020.
Postoperative nausea and vomiting is one of the most frequent adverse events after surgery and anesthesia. It is distressing for the patient and can lead to other postoperative complications. Management of PONV involves a framework of risk assessment, multimodal risk reduction, and prophylactic measures, as well as prompt rescue treatment. There has been a significant paradigm shift in the approach towards PONV prevention. There have also been several emerging therapeutic options for PONV prophylaxis and treatment. In this review, we will discuss the up-to-date PONV management guidelines and highlight novel therapeutic options which have emerged in the last few years.
术后恶心呕吐是手术和麻醉后最常见的不良事件之一。它给患者带来痛苦，并可能导致其他术后并发症。术后恶心呕吐的管理涉及风险评估框架、多模式风险降低和预防措施，以及及时的抢救治疗。在预防术后恶心呕吐的方法上已经发生了重大的模式转变。在术后恶心呕吐的预防和治疗方面也出现了几种新的治疗选择。在这篇综述中，我们将讨论最新的术后恶心呕吐管理指南，并重点介绍过去几年出现的新治疗选择。
