• Aesthetic plastic surgery · Jan 2004

    Postoperative nausea and vomiting in the plastic surgery patient.

    • Robert Lee Steely, Donald R Collins, Benjamin E Cohen, and Kim Bass.
    • Houston, TX 77002, USA.
    • Aesthetic Plast Surg. 2004 Jan 1;28(1):29-32.

    AbstractDespite 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

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