PONV

A 23yo supermodel s/p diagnostic laparoscopy is extremely nauseous in the PACU.

• Why is she nauseous?
• What is your treatment plan?
• If she comes in for another operation, what will you tell her to expect, and how will you treat her prophylactically?

References: (note, all residents should have access to Anesthesiology articles online if they receive the journal.  Many other journals are available with a USF account through MD Consult...just access it from the departmental home page)

1. Gan T. et al  Consensus Guidelines for Managing Postoperative Nausea and Vomiting   Anesth Analg 2003;97:62-71
2. Gan T.  Postoperative nausea and vomiting -- Can it be eliminated?  JAMA.  2002,287:1233-1236