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.
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; 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