Postoperative nausea and vomiting: risk factors, prediction tools, and algorithms

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Abstract
Purpose of review: Postoperative/postdischarge nausea and vomiting (PONV/PDNV) remain relevant issues in perioperative care. Especially in ambulatory surgery, PONV can prevent discharge or lead to unplanned readmission. Recent findings: The evidence for the management of PONV is now quite good but is still inadequately implemented. A universal, multimodal rather than risk-adapted approach for PONV prophylaxis is now recommended. The evidence on PDNV is insufficient. Summary: PDNV management is based primarily on consequent prophylaxis and therapy of PONV.

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