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Review
. 2024 Aug 9;11(7):16.
doi: 10.3390/medicines11070016.

Postoperative Nausea and Vomiting in the Ambulatory Surgery Center: A Narrative Review

Justin Bell  1 , Adam Bindelglass  1 , Jennifer Morrone  2 , Sherwin Park  1 , Ana Costa  1 , Sergio Bergese  1
Affiliations
Review

Postoperative Nausea and Vomiting in the Ambulatory Surgery Center: A Narrative Review

Justin Bell et al. Medicines (Basel). .

Abstract

Postoperative nausea and vomiting (PONV) is a common complication of ambulatory surgery, leading to numerous deleterious effects such as decreased patient satisfaction, prolonged recovery unit stays, and rarely, more serious complications such as aspiration pneumonia or wound dehiscence. In this paper, we present a narrative review of the literature regarding common risk factors for PONV including patient factors, surgical factors, and anesthetic factors. We then will review anesthetic techniques and antiemetic drugs demonstrated to mitigate the risk of PONV. Finally, we discuss the potential economic benefits of PONV prophylaxis in the perioperative ambulatory setting.

Keywords: ambulatory surgery; anesthetic complications; antiemetic; cost-effective anesthesia; patient satisfaction; postoperative nausea and vomiting.

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Conflict of interest statement

The authors declare no conflicts of interest.

References

    1. Cullen K.A., Hall M.J., Golosinskiy A. Ambulatory surgery in the United States, 2006. Natl. Health Stat. Rep. 2009;11:1–25. - PubMed
    1. McDermott K.W., Liang L. Healthcare Cost and Utilization Project (HCUP) Statistical Briefs. Agency for Healthcare Research and Quality; Rockville, MD, USA: 2021. Overview of Operating Room Procedures During Inpatient Stays in U.S. Hospitals, 2018. - PubMed
    1. Gress K., Urits I., Viswanath O., Urman R.D. Clinical and economic burden of postoperative nausea and vomiting: Analysis of existing cost data. Best Pract. Res. Clin. Anaesthesiol. 2020;34:681–686. doi: 10.1016/j.bpa.2020.07.003. - DOI - PubMed
    1. Gan T.J., Belani K.G., Bergese S., Chung F., Diemunsch P., Habib A.S., Jin Z., Kovac A.L., Meyer T.A., Urman R.D., et al. Fourth Consensus Guidelines for the Management of Postoperative Nausea and Vomiting. Anesth. Analg. 2020;131:411–448. doi: 10.1213/ANE.0000000000004833. - DOI - PubMed
    1. Apfel C.C., Philip B.K., Cakmakkaya O.S., Shilling A., Shi Y.Y., Leslie J.B., Allard M., Turan A., Windle P., Odom-Forren J., et al. Who is at risk for postdischarge nausea and vomiting after ambulatory surgery? Anesthesiology. 2012;117:475–486. doi: 10.1097/ALN.0b013e318267ef31. - DOI - PubMed

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