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Laryngo- rhino- otologie · Oct 2002
Review[Postoperative nausea and vomiting--pathophysiology, prophylaxis and treatment].
- F Lipka, F Wappler, R Leuwer, and J Schulte Am Esch.
- Klinik und Poliklinik für Anästhesiologie, Universitätsklinikum Hamburg-Eppendorf, Germany.
- Laryngorhinootologie. 2002 Oct 1;81(10):725-31.
AbstractPostoperative nausea and vomiting (PONV) are among the most common complications in operative medicine. Especially patients undergoing middle ear surgery or adenotonsillectomy are frequently associated with PONV (70 %). Furthermore, emesis carries the risk of severe postoperative complications and is associated with additional costs and distress in patient management. If the patient carries a high risk for postoperative emesis, the patient should receive a prophylactic antiemetic therapy. 5-HT 3 receptor antagonists are highly effective in prevention and management of PONV. This review will discuss pathophysiology, prophylaxis and treatment of postoperative nausea and vomiting after E.N.T. surgery.
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