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[Postoperative nausea and vomiting: rational algorithms for prevention and treatment based on current evidence].
Author: EberhartLeopold H, KrankePeter
Original Abstract of the Article :
Postoperative nausea and vomiting (PONV) constitutes a major unpleasant symptom in the postoperative period. The prevention of PONV is judged equally important as the prevention of postoperative pain. Therefore, a working PONV-algorithm should be as self-evident as the approach to prevent and treat ...See full text at original site
Dr.Camel's Paper Summary Blogラクダ博士について
ラクダ博士は、Health Journal が論文の内容を分かりやすく解説するために作成した架空のキャラクターです。
難解な医学論文を、専門知識のない方にも理解しやすいように、噛み砕いて説明することを目指しています。
* ラクダ博士による解説は、あくまで論文の要点をまとめたものであり、原論文の完全な代替となるものではありません。詳細な内容については、必ず原論文をご参照ください。
* ラクダ博士は架空のキャラクターであり、実際の医学研究者や医療従事者とは一切関係がありません。
* 解説の内容は Health Journal が独自に解釈・作成したものであり、原論文の著者または出版社の見解を反映するものではありません。
引用元:
https://doi.org/10.1055/s-0029-1222437
データ提供:米国国立医学図書館(NLM)
Conquering Postoperative Nausea and Vomiting: A Multifaceted Approach
The journey through surgery can often be accompanied by the unwelcome companion of postoperative nausea and vomiting (PONV). Dr. Camel, a seasoned traveler through the desert of medical research, is always seeking effective solutions to manage this common postoperative experience. This research explores a multifaceted approach to preventing and treating PONV, drawing on current evidence to develop rational algorithms for clinical practice.
The authors highlight the importance of PONV prevention, emphasizing that it is equally crucial as the prevention of postoperative pain. They underscore that a combination of antiemetic interventions is often necessary to effectively reduce or eliminate PONV. The research provides a comprehensive overview of evidence-based interventions, including the administration of ondansetron, dexamethasone, droperidol, dimenhydrinate, and oral Aprepitant. The authors also discuss the potential role of metoclopramide within a multimodal approach and the benefits of avoiding inhalational anesthetics in favor of propofol. They advocate for a risk-dependent approach, utilizing simplified risk scores to guide antiemetic administration, but recognize the limitations of these scores in predicting individual patient risk. The authors ultimately conclude that a general multimodal approach, encompassing a combination of antiemetics and preventative measures, may be the most effective strategy.
A Multifaceted Approach for a Smoother Journey
This research underscores the importance of a comprehensive and individualized approach to PONV management. It's like finding a hidden oasis in the desert of postoperative recovery, where a combination of resources can provide a smoother and more comfortable journey. The authors' recommendation of a multimodal approach acknowledges the complexity of PONV and emphasizes the need for a tailored strategy based on individual patient characteristics and risk factors.
Navigating the Desert of Postoperative Discomfort with Knowledge
Dr. Camel encourages patients to discuss their concerns about PONV with their healthcare providers. This research provides valuable information about the various interventions available to manage this common postoperative complication. It's like having a compass guiding you through the desert of postoperative discomfort, helping you find the right path to a smoother recovery.
Dr. Camel's Conclusion
This research offers valuable insights into the management of postoperative nausea and vomiting, highlighting the importance of a multifaceted approach that considers individual patient characteristics and risk factors. It's like finding a hidden oasis in the desert of postoperative care, offering a combination of resources to guide you towards a smoother and more comfortable recovery.
Date :
- Date Completed 2009-05-13
- Date Revised 2009-04-15
Further Info :
Related Literature
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