Skip to main content

Management of Postoperative Nausea and Vomiting After Neurosurgery

  • Chapter
  • First Online:
Essentials of Neurosurgical Anesthesia & Critical Care

Abstract

The incidence of postoperative nausea and vomiting (PONV) after craniotomies has been reported from 55% to 70%. The reasons for the high incidence of PONV may relate to surgery being performed in close proximity to emetic centers of the brainstem or on the structures integral to maintenance of equilibrium. Prophylaxis and treatment of PONV are fundamental parts of the perioperative anesthesia management in neurosurgery and require several steps: recognition of patients at risk for PONV; avoidance, when possible, of factors precipitating PONV; prophylaxis; and treatment which should be done selectively.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 119.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Suggested Reading

  • Apfel CC, Laara E, Koivuranta M, et al. A simplified risk score for predicting postoperative nausea and vomiting. Anesthesiology. 1999;91:693–700.

    Article  CAS  Google Scholar 

  • Arnberger M, Stadelmann K, Alischer P, et al. Monitoring of neuromuscular blockade at the P6 acupuncture point reduces the incidence of postoperative nausea and vomiting. Anesthesiology. 2007;107:903–8.

    Article  Google Scholar 

  • Eberhart LH, Morin AM, Kranke P, et al. Prevention and control of postoperative nausea and vomiting in post-craniotomy patients. Best Pract Res Clin Anaesthesiol. 2007;21:575–93.

    Article  CAS  Google Scholar 

  • Fabling JM, Gan TJ, EI-Moalem HE, et al. A randomized, doubleblinded comparison of ondansetron, droperidol, and placebo for prevention of postoperative nausea and vomiting after supratentorial craniotomy. Anesth Analg. 2000;91:358–61.

    CAS  PubMed  Google Scholar 

  • Gan TJ, Meyer T, Apfel CC, et al. Consensus guidelines for managing postoperative nausea and vomiting. Anesth Analg. 2003;97:62–7.

    Article  Google Scholar 

  • Neufeld SM, Newburn-Cook CV. The efficacy of 5-HT3 receptor antagonists for the prevention of postoperative nausea and vomiting after craniotomy: a meta-analysis. J Neurosurg Anesthesiol. 2007;19:10–7.

    Article  Google Scholar 

  • Ryu JH, Lee JE, Lim YJ, Hong DM, Park HP, Han JI, Baik HJ, Kim HZ, Min KT, Do SH. A prospective, randomized, double-blind, and multicenter trial of prophylactic effects of ramosetron on postoperative nausea and vomiting (PONV) after craniotomy: comparison with ondansetron. BMC Anesthesiol. 2014;14:63.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Concezione Tommasino .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Tommasino, C. (2020). Management of Postoperative Nausea and Vomiting After Neurosurgery. In: Brambrink, A., Kirsch, J. (eds) Essentials of Neurosurgical Anesthesia & Critical Care. Springer, Cham. https://doi.org/10.1007/978-3-030-17410-1_82

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-17410-1_82

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-17408-8

  • Online ISBN: 978-3-030-17410-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics