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Featured Articles: Infographic

Management of Postoperative Nausea and Vomiting: The 4th Consensus Guidelines

Nathan, Naveen MD

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doi: 10.1213/ANE.0000000000004996
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In this issue of Anesthesia & Analgesia, an international panel of experts convened to appraise the current literature that informs the management of postoperative nausea and vomiting (PONV). The result is the fourth consensus guidelines which offer an exhaustive review of several key areas: assessment of perioperative risk for PONV, efficacy of pharmacologic prophylaxis including new therapeutic agents, efficacy of rescue therapy, distinctions in managing the pediatric population, and the role of PONV prophylaxis in enhanced recovery protocols. This infographic highlights specific elements of their report, primarily the approach to managing PONV through enhanced recovery pathways as well as 3 new medications now available in our pharmacologic armamentarium. The reader is strongly encouraged to review these guidelines in their entirety for an in-depth understanding of the principles and evidence underlying PONV management.

PDNV indicates postdischarge nausea and vomiting; PONV, postoperative nausea and vomiting.


1. Gan TJ, Belani KG, Bergese S, et al.Fourth consensus guidelines for the management of postoperative nausea and vomiting. Anesth Analg. 2020;131:411–448.
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