KOLLER, C and JAKOB, W and HORAUF, K (1994) POSTOPERATIVE VOMITING - PATHOPHYSIOLOGY, INCIDENCE AND PROPHYLAXIS. ANASTHESIOLOGIE & INTENSIVMEDIZIN, 35 (5). pp. 137-143. ISSN 0170-5334,
Full text not available from this repository.Abstract
Postoperative nausea and vomiting, referred to in the literature as a ''big little problem'', have an average incidence of 20-25 percent. The mechanism involved is a reflex arc controlled by the medulla oblongata, which is modified by a multitude of factors, such as the age and sex of the patient, the nature of the surgery involved, and the type of anaesthesia employed. In the case of women, children and patients undergoing an intra-abdominal intervention, or an operation on the eyes, the incidence of postoperative vomiting is appreciably increased. Here, prophylaxis with dehydrobenzperidol (droperidol) should be employed. In the case of children undergoing surgery for strabismus, propofol-TIVA can be applied. To treat postoperative vomiting in the recovery room, antihistaminics such as dimenhydrinate can be given as an alternative to droperidol or metoclopramide.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | ; SURGERY, OPERATIVE; ANESTHESIA; VOMITING; ANTIEMETICS; POSTOPERATIVE PERIOD |
| Depositing User: | Dr. Gernot Deinzer |
| Last Modified: | 19 Oct 2022 08:40 |
| URI: | https://pred.uni-regensburg.de/id/eprint/53287 |
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