-
Anasthesiol Intensivmed Notfallmed Schmerzther · Apr 2009
[Postoperative nausea and vomiting--what's new in anti-emetic pharmacotherapy?].
- Jan Wallenborn, Leopold H Eberhart, and Peter Kranke.
- Klinik und Poliklinik fürAnästhesiologie und Intensivtherapieam UK Leipzig. jan.wallenborn@medizin.uni-leipzig.de
- Anasthesiol Intensivmed Notfallmed Schmerzther. 2009 Apr 1;44(4):296-304; quiz 305.
AbstractNeurokinin-1 receptor antagonists represent a new approach in the prevention of postoperative nausea and vomiting (PONV) and show an efficacy comparable with those of common antiemetics with some evidence for superiority with regard to vomiting. Currently, only aprepitant is available as an oral preparation. Palonosetron is a new representative of the serotonin-3 receptor antagonists but without the hoped for superiority on the 2nd and 3rd postoperative days. However, available data do suggest that palanosetron does not prolong the OT (c) interval. When using 5-HT (3)-receptor antagonists for the prevention of PONV, anaesthetists should be aware of negative interactions with analgesics. Low-dose droperidol has regained approval and should be considered as first choice among the current available neuroleptics.
Notes
Knowledge, pearl, summary or comment to share?You can also include formatting, links, images and footnotes in your notes
- Simple formatting can be added to notes, such as
*italics*,_underline_or**bold**. - Superscript can be denoted by
<sup>text</sup>and subscript<sub>text</sub>. - Numbered or bulleted lists can be created using either numbered lines
1. 2. 3., hyphens-or asterisks*. - Links can be included with:
[my link to pubmed](http://pubmed.com) - Images can be included with:
 - For footnotes use
[^1](This is a footnote.)inline. - Or use an inline reference
[^1]to refer to a longer footnote elseweher in the document[^1]: This is a long footnote..