This material may not be published, broadcast, rewritten or redistributed in any form without prior authorization. Simply download the app, log on with your membership details, and view all available guidelines. Wilhelm SM, Dehoorne-Smith ML, Kale-Pradhan PB. The Baxter Retching Faces (BARF) scale ( Fig. This site needs JavaScript to work properly. Oral mosapride can provide additional anti-emetic efficacy following total joint arthroplasty under general anesthesia: a randomized, double-blinded clinical trial. Effect of gastric decompression on postoperative vomiting in pediatric patients undergoing strabismus surgery: a randomized controlled study. Piccioni F, Droghetti A, Bertani A, Coccia C, Corcione A, Corsico AG, Crisci R, Curcio C, Del Naja C, Feltracco P, Fontana D, Gonfiotti A, Lopez C, Massullo D, Nosotti M, Ragazzi R, Rispoli M, Romagnoli S, Scala R, Scudeller L, Taurchini M, Tognella S, Umari M, Valenza F, Petrini F; AIPO, Associazione Italiana Pneumologi Ospedalieri; SIAARTI, Società Italiana di Anestesia Analgesia Rianimazione Terapia Intensiva; SIC, Società Italiana di Chirurgia; SICT, Società Italiana di Chirurgia Toracica; SIET, Società Italiana di Endoscopia Toracica; SIP, Società Italiana di Pneumologia. Please login or register first to view this content. When 0, 1, 2, 3, or 4 of the depicted independent predictors are present, the corresponding risk for PONV is approximately 10%, 10%, 30%, 50%, or 70%, respectively. 2014 Jun;118(6):1154-6. doi: 10.1213/ANE.0000000000000223. eCollection 2020 May. Anesth Pain Med (Seoul). CGM-PONV state that current evidence does not support a universal administration of PONV prophylaxis to all patients undergoing surgical procedures.13 Rather, the guidelines provide an overview of prophylactic options for patients at moderate or high risk for PONV and advise a wait-and-see approach in patients at low risk for PONV.13, Prophylaxis in Adults at Moderate Risk for PONV, CGM-PONV recommend the use of 1 to 2 prophylaxis interventions in adults at moderate risk for PONV.13 The guidelines provide an overview of the latest clinical research on several classes of antiemetic agents including 5-hydroxytryptamine receptor antagonists (5-HT3), neurokinin-1 (NK-1) receptor antagonists, butyrophenones, antihistamines, corticosteroids, and anticholinergics.13 Not all the drugs from these categories have been indicated for use in PONV by the Food and Drug Administration (FDA), and not all of them have been approved for use in the United States (US).13, 5-HT3 receptor antagonists evaluated for PONV include ondansetron, dolasetron, granisetron, tropisetron, ramosetron, and palonosetron of which ondansetron has been studied the most and is considered the “gold standard” of antiemetics.13 According to CGM-PONV, ramosetron and tropisetron are not approved in the United States, and dolasteron is no longer marketed in the United States. Ni CY, Wang ZH, Huang ZP, et al. Taiwan J Obstet Gynecol. Developed By: Committee on Standards and Practice Parameters Last Amended: October 23, 2019 (original approval: October 27, 2004) Download PDF. Laparoscopic surgery may increase the risk of PONV while adequate hydration and opioid minimization are protective. Consensus guidelines for the management of postoperative nausea and vomiting. 2019 COLLECTION TYPE: MIPS CLINICAL QUALITY MEASURES (CQMS) MEASURE TYPE: Process – High Priority DESCRIPTION: Percentage of patients, aged 18 years and older, who undergo a procedure under an inhalational general anesthetic, AND who have three or more risk factors for post-operative nausea and vomiting (PONV), who receive combination Prior PONV 2.09 1.90–2.29 or motion sickness 1.77 1.55–2.04 3. Anesth Analg. CGM-PONV recommend the use of 1 to 2 prophylaxis interventions in adults at moderate risk for PONV. Updated advice for professionals. 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