Thoughts on Pain Management, Postoperative Nausea and Vomiting (PONV) & Brain Fog

Postoperative nausea and vomiting

Postoperative nausea and vomiting (PONV) is a long-standing issue, not a new concept in anesthesiology. Despite many studies over the last several decades, PONV remains a significant problem due to its complex mechanism. This review presents a summary of the mechanism underlying the pathogenesis of PONV, focusing on preventive treatment, particularly the use of new drugs. In addition, we discus...

Postoperative Nausea and Vomiting

Update on the management of postoperative nausea and vomiting.

New antiemetic drug developments, formulations, guidelines, risk evaluation, and controversies have occurred in the area of postoperative nausea and vomiting (PONV). These developments have helped improve our understanding of the prevention and treatment of PONV in the postanesthesia care unit and after discharge home or to the hospital ward. Antiemetic drug research has resulted in the introdu...

Effect of Intravenous Dexamethasone on Postoperative Nausea-Vomiting (PONV) after Intrathecal Morphine during Caesarean Section

Background: Post-operative pain relief after Caesarean section is important; it improves mobility and reduces the risk of thromboembolic complications. Neuraxial opioids are effective in postoperative pain relief but untoward effects like postoperative nausea and vomiting (PONV) prevent their regular use. Recent studies have shown that IV Dexamethasone reduces the incidence of PONV associated w...

Management of postoperative nausea and vomiting: focus on palonosetron

Postoperative nausea and vomiting (PONV) remains a significant problem in modern anesthetic practice, with an incidence in high-risk groups of up to 80%. In addition to being unpleasant and distressing for the patient, PONV has the potential to adversely affect patient and surgical outcomes. Advances in PONV prophylaxis over recent years include using non-pharmacological means to reduce baselin...