Abstract
Postoperative nausea and vomiting (PONV) constitutes a major unpleasant symptom after anesthesia and surgery. The current overall incidence of PONV for all surgeries is estimated to be 25–30%, whereas after craniotomies is more than 50%. In the absence of prophylactic antiemetics, in retrospective analysis, the incidence has been as high as 39% for emesis and 67% for nausea, while in prospective studies PONV incidence has been reported from 55 to 70%. The reasons for the high incidence of PONV in neurosurgical patients may relate to surgery being performed in close proximity to emetic centers of the brainstem, or on the structures integral to maintenance of equilibrium.
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Apfel CC, Laara E, Koivuranta M, et al. A simplified risk score for predicting postoperative nausea and vomiting. Anesthesiology. 1999;91:693–700.
Arnberger M, Stadelmann K, Alischer P, et al. Monitoring of neuromuscular blockade at the P6 acupuncture point reduces the incidence of postoperative nausea and vomiting. Anesthesiology. 2007;107:903–8.
Eberhart LH, Morin AM, Kranke P, et al. Prevention and control of postoperative nausea and vomiting in post-cranioromy patients. Best Pract Res Clin Anaesthesiol. 2007;21:575–93.
Fabling JM, Gan TJ, EI-Moalem HE, et al. A randomized, doubleblinded comparison of ondansetron, droperidol, and placebo for prevention of postoperative nausea and vomiting after supratentorial craniotomy. Anesth Analg. 2000;91:358–61.
Gan TJ, Meyer T, Apfel CC, et al. Consensus guidelines for managing postoperative nausea and vomiting. Anesth Analg. 2003;97:62–7.
Neufeld SM, Newburn-Cook CV. The efficacy of 5-HT3 receptor antagonists for the prevention of postoperative nausea and vomiting after craniotomy: A meta-analysis. J Neurosurg Anesthesiol. 2007;19:10–7.
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Tommasino, C. (2012). Management of Postoperative Nausea and Vomiting After Neurosurgery. In: Brambrink, A., Kirsch, J. (eds) Essentials of Neurosurgical Anesthesia & Critical Care. Springer, New York, NY. https://doi.org/10.1007/978-0-387-09562-2_73
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DOI: https://doi.org/10.1007/978-0-387-09562-2_73
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