Anesthesia Considerations 

Postoperative Nausea & Vomiting Guidelines 

Adapted from Anesth Analg. August 2020 - Volume 131 - Issue 2 - p 411-448

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General Principles

• All patients should be assessed for risk of PONV

• General principles:

  • Risk reduction

  • Prophylaxis

  • Treatment

• Multimodal PONV management strategy should take into account:

  • Patient’s choice

  • Cost-effectiveness 

  • Preexisting conditions (risk of prolonged QT, Parkinson’s, closed-angle glaucoma, etc)

• PONV management is an important part of Enhanced Recovery Pathways