• Lenka Doubravska, Katerina Dostalova, Sarka Fritscherova, Jana Zapletalova, and Milan Adamus.
• Department of Anesthesiology and Resuscitation, University Hospital Olomouc and Faculty of Medicine and Dentistry, Palacky University Olomouc, Czech Republic.
• Biomed Pap. 2010 Mar 1;154(1):69-76.

AimTo determine the incidence of postoperative nausea and vomiting (PONV), identify risk factors, assess treatment and its effectiveness.DesignA prospective, observational, questionnaire- and interview-based study.SettingStandard and intensive care units of the following university hospital departments: abdominal, thoracic and vascular surgery; gynecology; plastic and esthetic surgery; urology; and traumatology.Material And MethodsAdult patients scheduled for elective surgery who gave informed consent were enrolled. A questionnaire-based study was performed on the first postoperative day. The collected data relevant to PONV were statistically analyzed.ConclusionThe incidence of PONV was significantly lower than generally presumed and was related to the patient gender, type of surgery and overall health status. PONV was more frequent in obese patients and when drugs antagonizing opioids or muscle relaxants were used. Early administration of antiemetic agents led to considerably less discomfort.

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