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Review
. 2023 Jan;72(1):37-47.
doi: 10.1007/s00101-022-01248-y.

[Postoperative nausea and vomiting-recommendations for its prevention and therapy in paediatric medicine]

[Article in German]
T Schlesinger  1 , K Becke-Jakob  2 , C B Eich  3 , U Gottschaldt  4 , F J Kretz  5 , J Krösche  6 , P Kranke  1 , C Höhne  7
Affiliations
Review

[Postoperative nausea and vomiting-recommendations for its prevention and therapy in paediatric medicine]

[Article in German]
T Schlesinger et al. Anaesthesiologie. 2023 Jan.

Abstract
in English, German

Post-operative nausea and/or vomiting (PONV/POV) are among the biggest problems occurring in the paediatric recovery room and in the course of the following post-operative period. Apart from pain and emergence delirium, PONV is one of the main causes of post-operative discomfort in children. The DGAI Scientific Working Group on Paediatric Anaesthesia already worked out recommendations for the prevention and treatment of PONV in children years ago. These recommendations have now been revised by a team of experts, the current literature has been reviewed, and evidence-based core recommendations have been consented. Key elements of the new recommendations consist of effective individual measures for prevention and therapy, next to the implementation of a fixed dual prophylaxis in the clinical routine applicable to all children ≥ 3 years of age.

Postoperative Übelkeit und/oder Erbrechen (postoperative nausea and vomiting, PONV/POV) gehören zu den großen Problemen im Kinder-Aufwachraum und in der weiteren postoperativen Phase. Neben Schmerzen und Emergence Delir ist PONV eine der Hauptursachen für postoperatives Unbehagen bei Kindern. Der Wissenschaftliche Arbeitskreis Kinderanästhesie der DGAI hat bereits vor Jahren eine Handlungsempfehlung zur Prävention und Therapie von PONV bei Kindern erarbeitet. Diese Empfehlung wurde nun von einem Expertenteam überarbeitet, die aktuelle Literatur gesichtet und evidenzbasierte Kernempfehlungen konsentiert. Schlüsselelemente der neuen Handlungsempfehlung sind wirksame Einzelmaßnahmen zu Prävention und Therapie sowie die Implementierung einer fixen Zweifachprophylaxe in die klinische Routine bei allen Kindern ≥ 3 Jahren.

Keywords: Nausea/Vomiting; Paediatric Anaesthesia; Post-operative Complications.

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References

Literatur

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