Anaes Cases · Postoperative nausea & vomiting
The persistent PONV in the recovery room
The hot case — the persistent PONV. The rescue with the different-class agent (the droperidol or the metoclopramide — the not repeat ondansetron); the contributing-factor assessment (the pain, the hypotension, the hypoxia, the opioid); the prolonged stay or the admission if the uncontrolled.
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ANZCAFRCAABAEDAIC
Prompt
A patient who received the dexamethasone and the ondansetron prophylaxis has the persistent PONV in the recovery room. Manage.
Presentation
A 45-year-old woman in the recovery room, 2 hours after the laparoscopic cholecystectomy under the sevoflurane anaesthesia (the dexamethasone 8 mg and the ondansetron 4 mg prophylaxis given), has the persistent nausea and two episodes of the vomiting. The pain is controlled (the score of 2). The vitals are stable. Manage.
[1]References1ShowHide
- [1]Dombrower R, et al. Perioperative Anesthesia Strategies for the Prevention of Postoperative Nausea and Vomiting Within Enhanced Recovery After Surgery Pathways: A Clinical Narrative Review. J Clin Med, 2026.PMID 42194789