Skip to main content
SpringerLink
Log in

Postoperative Nausea and Vomiting in the Plastic Surgery Patient

  • Published:
Aesthetic Plastic Surgery Aims and scope Submit manuscript

Abstract

Despite great advances in modern medicine, postoperative nausea and vomiting (PONV) continue to be a significant problem without a definitive cure. This article describes a prospective study conducted with 143 plastic surgery patients at a single institution between 1998 and 2000 to identify preoperative risk factors for PONV that may be specific to plastic surgery patients. In addition, a prophylactic regimen was identified that demonstrated a decrease in the incidence of PONV from the published incidence of 22% to 3%. The regimen includes the use of multiple antiemetic agents including ondansetron (Zofran) promethazine (Phenergan), and metoclopramide (Reglan), with the addition of dexamethasone (Decadron) in selected cases

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

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. CC Apfel E Larra et al. (1999) ArticleTitleA simplified risk score for predicting postoperative nausea and vomiting Anesthesia 91 693 Occurrence Handle10.1097/00000542-199909000-00022 Occurrence Handle1:STN:280:DyaK1MvhtlOqsw%3D%3D

    Article  CAS  Google Scholar 

  2. MM Cohen PG Duncan et al. (1994) ArticleTitleThe postoperative interview: Assessing risk factors for nausea and vomiting Anesth Analg 78 7–16 Occurrence Handle1:STN:280:ByuD1M7ls1c%3D Occurrence Handle8267183

    CAS  PubMed  Google Scholar 

  3. R Greif S Laciny et al. (1999) ArticleTitleSupplemental oxygen reduces the incidence of postoperative nausea and vomiting Anesthesiology 91 1246 Occurrence Handle10.1097/00000542-199911000-00014 Occurrence Handle1:STN:280:DC%2BD3c%2FhslOgtw%3D%3D Occurrence Handle10551573

    Article  CAS  PubMed  Google Scholar 

  4. I Henzi B Walder MR Tramer (2000) ArticleTitleDexamethasone for the prevention of postoperative nausea and vomiting: A quantitative systematic review Anesth Analg 90 186–194 Occurrence Handle1:CAS:528:DC%2BD3cXltFWgsQ%3D%3D Occurrence Handle10625002

    CAS  PubMed  Google Scholar 

  5. GNC Kenny (1994) ArticleTitleRisk factors for postoperative nausea and vomiting Anesthesia 49 6–10

    Google Scholar 

  6. S Khalil L Philbrook M Rabb et al. (1999) ArticleTitleOndansetron/promethazine combination or promethazine alone reduces nausea and vomiting after middle ear surgery J Clin Anesth 11 596 Occurrence Handle10.1016/S0952-8180(99)00103-8 Occurrence Handle1:CAS:528:DyaK1MXnvFels7w%3D Occurrence Handle10624646

    Article  CAS  PubMed  Google Scholar 

  7. M Koivuranta E Laara et al. (1997) ArticleTitleA survey of postoperative nausea and vomiting Anesthesia 52 443 Occurrence Handle10.1111/j.1365-2044.1997.117-az0113.x Occurrence Handle1:STN:280:ByiA3cfnslY%3D

    Article  CAS  Google Scholar 

  8. GE Larijani ME Goldberg (1994) ArticleTitleEvaluating postoperative nausea and vomiting Pharmacotherapy 14 669 Occurrence Handle1:STN:280:ByqC1M3hvVE%3D Occurrence Handle7885969

    CAS  PubMed  Google Scholar 

  9. GE Larijani I Gratz et al. (1991) ArticleTitleTreatment of postoperative nausea and vomiting with ondansetron: A randomized, double-blind comparison with placebo Anesth Analg 73 246 Occurrence Handle1:STN:280:By6A38fksVE%3D Occurrence Handle1831015

    CAS  PubMed  Google Scholar 

  10. S Larsson D Lundberg (1995) ArticleTitleA prospective study of postoperative nausea and vomiting with special regard to incidence and relations to patient characteristics, anesthetic routines, and surgical procedures Acta Anaesthesiol Scand 39 539 Occurrence Handle1:STN:280:ByqH3cjis1A%3D Occurrence Handle7676794

    CAS  PubMed  Google Scholar 

  11. A Lee ML Done (1999) ArticleTitleThe use of nonpharmocological techniques to prevent postoperative nausea and vomiting: A meta-analysis Anesth Analg 88 1362 Occurrence Handle1:STN:280:DyaK1M3osVagug%3D%3D Occurrence Handle10357346

    CAS  PubMed  Google Scholar 

  12. JF Norris F Chung T Ganeshram (1998) ArticleTitleShould adult patients drink fluids before discharge from ambulatory surgery? Anesth Analg 87 306 Occurrence Handle9706921

    PubMed  Google Scholar 

  13. MH Pearman (1994) ArticleTitleSingle-dose ondansetron in the prevention of postoperative nausea and vomiting Anesthesia 49 IssueIDSuppl 11

    Google Scholar 

  14. RM Pinder RN Brogden et al. (1976) ArticleTitleMetaclopromide: A review of its pharmacological properties and clinical use Drugs 12 81 Occurrence Handle1:CAS:528:DyaE28XlsFelsrk%3D Occurrence Handle786607

    CAS  PubMed  Google Scholar 

  15. PE Scudieri RL James et al. (1999) ArticleTitleAntiemetic prophylaxis does not improve outcomes after outpatient surgery when compared to symptomatic treatment Anestheisology 90 360 Occurrence Handle10.1097/00000542-199902000-00006

    Article  Google Scholar 

  16. DR Sinclair F Cheung et al. (1999) ArticleTitleCan postoperative nausea and vomiting be predicted? Anesthesiology 91 109 Occurrence Handle10.1097/00000542-199907000-00018 Occurrence Handle1:STN:280:DyaK1MzkvFOqug%3D%3D Occurrence Handle10422935

    Article  CAS  PubMed  Google Scholar 

  17. JM Stein (1982) ArticleTitleFactors affecting nausea and vomiting in the plastic surgery patient Plast Reconstr Surg 70 505 Occurrence Handle1:STN:280:Bi2B2srmtFc%3D Occurrence Handle6125981

    CAS  PubMed  Google Scholar 

  18. DJ Tom (2000) ArticleTitlePostoperative nausea and vomiting Aesth Surg 20 339 Occurrence Handle10.1067/maj.2000.109085

    Article  Google Scholar 

  19. M Tramer A Moore H McQuay (1997) ArticleTitlePropofol anaesthesia and postoperative nausea and vomiting: Quantitative systematic review of randomized controlled studies Br J Anaesth 78 247 Occurrence Handle1:CAS:528:DyaK2sXitFSgsbk%3D Occurrence Handle9135299

    CAS  PubMed  Google Scholar 

  20. MR Tramer JM Reynolds et al. (1997) ArticleTitleEfficacy, dose-response, and safety of ondansetron in prevention of postoperative nausea and vomiting Anestheisology 87 1277 Occurrence Handle10.1097/00000542-199712000-00004 Occurrence Handle1:CAS:528:DyaK1cXms1Gl

    Article  CAS  Google Scholar 

  21. CA Trepanier L Isabel (1993) ArticleTitlePerioperative gastric aspiration increases postoperative nausea and vomiting in outpatients Can J Anesth 40 325 Occurrence Handle1:STN:280:ByyB2M7lsVE%3D

    CAS  Google Scholar 

  22. MB Vance RS Neill W Norris (1973) ArticleTitleThe incidence and aetiology of postoperative nausea and vomiting in a plastic surgical unit Br J Plast Surg 26 336 Occurrence Handle1:STN:280:CSuD2cjmsFw%3D Occurrence Handle4759973

    CAS  PubMed  Google Scholar 

  23. MF Watcha PF White et al. (1992) ArticleTitlePostoperative nausea and vomiting Anestheisology 77 162 Occurrence Handle1:STN:280:By2A3czotVM%3D

    CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Christus St. Joseph Hospital Plastic Surgery Residency Training Program, Houston, TX, USA

    Robert Lee Steely M.D., Donald R. Collins Jr. M.D., Benjamin E. Cohen M.D. & Kim Bass Pharm. D.

Authors
  1. Robert Lee Steely M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Donald R. Collins Jr. M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Benjamin E. Cohen M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Kim Bass Pharm. D.
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Robert Lee Steely M.D..

Rights and permissions

Reprints and permissions

About this article

Cite this article

Lee Steely, R., Collins, D.R., Cohen, B.E. et al. Postoperative Nausea and Vomiting in the Plastic Surgery Patient. Aesth. Plast. Surg. 28, 29–32 (2004). https://doi.org/10.1007/s00266-004-3015-8

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00266-004-3015-8

Keywords

Search

Navigation