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Outpatient Surgery E-Weekly

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Wrong-Site Prevention Video Shows the Right Way

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Archive > March, 2011 Vol. XII, No. 3

Anesthesia Alert

3 Strategies to Prevent Nausea and Vomiting

John Camp, MD

We host lots of orthopedic cases using regional anesthesia, so we assumed that our PONV rate was lower than facilities that host procedures with a higher risk for post-operative nausea and vomiting. Boy, were we wrong. When we did some digging, we found that PONV occurred in about 15% of our cases. Here are 3 strategies we used to lower our PONV rate.

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Adults Risk; Anesthesia; Children Risk; Choose; Controlling PONV; Directions; Dose; EMRs; FDA; Factors History; GYN; IV; It's; Monitor; Multimodal; Nurses; PONV; PONV Female Non-smoker Anxiety; PONV More; PONV The; QT; Relative; Side; Step-by-Step; Symptoms; action; added; adjusted; administer; administering; adult; agent; agitated; agitation; algorithm; alternative; anesthesia; antagonist; anticholinergic; antiemetic; antihistamine; applied; apply; approach; arrival; assumed; avoid; based; began; black; box; box”; called; calls; case; catch-up; chance; changed; children; cholinergic; clinic... show all keywords
Adults Risk; Anesthesia; Children Risk; Choose; Controlling PONV; Directions; Dose; EMRs; FDA; Factors History; GYN; IV; It's; Monitor; Multimodal; Nurses; PONV; PONV Female Non-smoker Anxiety; PONV More; PONV The; QT; Relative; Side; Step-by-Step; Symptoms; action; added; adjusted; administer; administering; adult; agent; agitated; agitation; algorithm; alternative; anesthesia; antagonist; anticholinergic; antiemetic; antihistamine; applied; apply; approach; arrival; assumed; avoid; based; began; black; box; box”; called; calls; case; catch-up; chance; changed; children; cholinergic; clinical; closure; combination; commonly; compared; constipation; controlling; corticosteroid; cost; couple; cover; created; cross-binds; data; day; de; defined; delirium; dexamethasone; difficulty; dilated; documented; doesn't; dopamine; dopaminergic; dose; dose-related; doses; drawback; dropped; drug; drugs; dry; ear; effect; effective; effects; encourages; evidence; extra; extrapyramidal; facilities; facility; factor; feeling; flush”; follow-up; form; found; give; giving; guide; guidelines; haloperidol; heavier; helped; helps; higher; histamine; history; home; hospital; host; hours; improve; incidence; include; increased; inducing; inhibits; injection; interval; intravenously; involved; it's; larger; learned; left; literature; long-lasting; longer; looked; lots; low; lower; made; medication; meds; mentioned; mood; multimodal; nausea; numbers; nursing; occasional; occurred; ondansetron; orally; order; ordering; orthopedic; page; paid; part; patch; patient; patients; pediatric; perfect; place; play; pointes; posed; post-op; post-operative; potent; pre-anesthesia; pre-op; prevent; preventing; procedures; prolongation; promethazine; prophylactic; prophylaxis; prostaglandins; protocol; providers; put; quicker; rate; rates; receive; receptors; regional; release; remain; remained; remind; repeated; rescue; risk; rounds; scopolamine; serotonin; setback; shows; side; similar; single; slightly; slurred; small; started; strategies; strategy; stratification; studies; substitute; surgery; synthesis; therapy; things; time; torsades; tranquilizer; transdermal; vomiting; warning; well-studied; won't; work; works; worn; worth; years; “Step-by-Step; “black; “perineal

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