Postoperative Nausea and Vomiting as a Complication of Maxillofacial Surgery
Postoperative and post-discharge nausea and vomiting are common complications following administration of general anesthesia or sedation for surgery. Postoperative nausea and vomiting (PONV) can severely impact postanesthetic recovery time and time to discharge and contribute to an overall patient dissatisfaction for the experience. The pathophysiology of PONV is clearly understood, and so are the risk factors associated with the complication. Management of the condition is done efficiently when all patients that present for surgery are assessed preoperatively and risk stratified for potential PONV. Consensus guidelines are available and updated frequently to help manage PONV. While management guidelines rely on pharmacologic agents, other strategies can also help prevent PONV and also help manage it effectively.
- 6.ASHP therapeutic guidelines on the pharmacologic management of nausea and vomiting in adult and pediatric patients receiving chemotherapy or radiation therapy or undergoing surgery. Am J Health Syst Pharm. 1999;56(8):729–64.Google Scholar
- 7.Gan TJ, Diemunsch P, Habib AS, Kovac A, Kranke P, Meyer TA, Watcha M, Chung F, Angus S, Apfel CC, Bergese SD, Candiotti KA, Chan MT, Davis PJ, Hooper VD, Lagoo-Deenadayalan S, Myles P, Nezat G, Philip BK, Tramèr MR. Consensus guidelines for the management of postoperative nausea and vomiting. Society for Ambulatory Anesthesia. Anesth Analg. 2014;118(1):85–113.CrossRefPubMedGoogle Scholar