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Anesthesia & Analgesia:
doi: 10.1213/ANE.0000000000000002
Ambulatory Anesthesiology: Special Article

Consensus Guidelines for the Management of Postoperative Nausea and Vomiting

Gan, Tong J. MD, MHS, FRCA*; Diemunsch, Pierre MD, PhD; Habib, Ashraf S. MB, FRCA*; Kovac, Anthony MD; Kranke, Peter MD, PhD, MBA§; Meyer, Tricia A. PharmD, MS, FASHP; Watcha, Mehernoor MD; Chung, Frances MBBS#; Angus, Shane AA-C, MS**; Apfel, Christian C. MD, PhD††; Bergese, Sergio D. MD‡‡; Candiotti, Keith A. MD§§; Chan, Matthew TV MB, BS, FANZCA‖‖; Davis, Peter J. MD¶¶; Hooper, Vallire D. PhD, RN, CPAN, FAAN##; Lagoo-Deenadayalan, Sandhya MD, PhD***; Myles, Paul MD†††; Nezat, Greg CRNA, CDR, USN, PhD§§§; Philip, Beverly K. MD‖‖‖; Tramèr, Martin R. MD, DPhil¶¶¶

Supplemental Author Material
Continuing Medical Education
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Abstract

The present guidelines are the most recent data on postoperative nausea and vomiting (PONV) and an update on the 2 previous sets of guidelines published in 2003 and 2007. These guidelines were compiled by a multidisciplinary international panel of individuals with interest and expertise in PONV under the auspices of the Society for Ambulatory Anesthesia. The panel members critically and systematically evaluated the current medical literature on PONV to provide an evidence-based reference tool for the management of adults and children who are undergoing surgery and are at increased risk for PONV. These guidelines identify patients at risk for PONV in adults and children; recommend approaches for reducing baseline risks for PONV; identify the most effective antiemetic single therapy and combination therapy regimens for PONV prophylaxis, including nonpharmacologic approaches; recommend strategies for treatment of PONV when it occurs; provide an algorithm for the management of individuals at increased risk for PONV as well as steps to ensure PONV prevention and treatment are implemented in the clinical setting.

© 2014 International Anesthesia Research Society

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