RT Book, Section
A1 Freeman, Brian S.
A1 Berger, Jeffrey S.
SR Print(0)
ID 1206857540
T1 Anti-Emetics and Aspiration Prophylaxis
T2 Anesthesiology Core Review: Part Two ADVANCED Exam, 2nd Edition
YR 2024
FD 2024
PB McGraw Hill
PP New York, NY
SN 9781264285730
LK accessanesthesiology.mhmedical.com/content.aspx?aid=1206857540
RD 2024/10/07
AB Several  agents  administered  in  the  perioperative  period  (particularly  anesthetics  and  analgesics)  contribute  to  the  potential  for  patients  to  develop  postoperative  nausea  and  vomiting  (PONV).  One  measure  to  objectively  assess  and  treat  PONV  is  the  Apfel  score—1  point  each  for  female  gender,  non-smoking  status,  history  of  PONV,  and  use  of  postoperative  opioids.  The  score  will  dictate  which  combination  of  antiemetics  could  benefit  the  patient  of  that  risk  score.  PONV  may  sound  innocuous,  but  it  can  lead  to  pulmonary  complications  such  as  perioperative  pulmonary  aspiration,  aspiration  pneumonia,  and  related  pulmonary  compromise.  Because  of  this,  institutions  have  integrated  antiemetics  into  their  enhanced  recovery  after  surgery  (ERAS)  protocols.