Implementing a postoperative nausea and vomiting protocol for adult patients undergoing general anesthesia

The definition of postoperative nausea and vomiting (PONV) is typically defined as any nausea, vomiting, or retching occurring during the first 24-48 hours after surgery. PONV is associated with increased morbidity and mortality, increased hospital costs, and decreased patient satisfaction. Patient satisfaction is an important hospital quality metric indicator. Up to 80% of patients experience PONV. Anesthesia providers can administer medications that antagonize various receptors to help prevent PONV (Dopamine 2, NK-1, Muscarinic, 5-HT-3, and Histamine 1). The 2020 Fourth Consensus Guidelines are a comprehensive and evidence-based set of guidelines for PONV management. According to the Fourth Consensus Guidelines, risk factors for PONV include females, age < 50, non-smokers, post-operative opioid use, use of volatile anesthetics and/or nitrous oxide, gynecological procedures, and laparoscopic procedures. Patients with 1-2 risk factors should receive 2 anti-emetics and those with >2 risk factors should receive 3-4 anti-emetics. A mid-Michigan teaching hospital has inconsistent practice compliance with their PONV management protocol. The PONV protocol is also inconsistent with the 2020 Forth Consensus Guidelines.

Authors dc:creator

• Dodds, Kayleigh
• Kulhanek, Brennan
• Wander, Melinda

Contributors dc:contributor

• Lourens, Gayle

• Postoperative nausea and vomiting
• Postoperative care

Statement dc:rights

• In Copyright

Language dc:language

English

Identifier

dnp:27
oclc:1378906766
local:R_1pXtiR1bFKJ01pA

OAI identifier oai:identifier

oai:d.lib.msu.edu:dnp_27