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- Patrick Ziemann-Gimmel, Roman Schumann, Wayne English, John Morton, and Anupama Wadhwa.
- Associate Professor of Anesthesiology, University of Central Florida, Orlando, FL, USA. pziemann@yahoo.com.
- Obes Surg. 2020 Oct 1; 30 (10): 4138-4140.
AbstractPostoperative nausea and vomiting (PONV) is a frequent side effect in patients undergoing bariatric procedures. The simplified Apfel score is an attractive and frequently used tool to assess PONV risk in the general surgical population. Despite applying the recommendations based on the Apfel risk prediction score, several studies show that up to 82% of patients undergoing metabolic and bariatric surgery suffer from PONV in the PACU. A combination of multiple antiemetic drugs of different pharmacologic classes targeting a variety of receptors in addition to an intraoperative opioid-free TIVA technique should be considered in high-risk patients.
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