Anaes Vivas · Postoperative nausea & vomiting
Data viva — the Apfel score applied
A data viva on the Apfel score applied to a specific patient — the 4 (the 80 per cent risk); the multicomponent prophylaxis (the dexamethasone, the 5-HT3, the aprepitant or the droperidol); the TIVA; the opioid-sparing; the rescue.
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Study tools
Target exams
ANZCAFRCAABAEDAIC
Prompt
A patient: the female, the non-smoker, the previous PONV, the laparoscopic gynaecological surgery with the expected opioid. Score and advise on the prophylaxis.
Stimulus
A patient: the 40-year-old female, the non-smoker, the previous PONV after the caesarean, the laparoscopic ovarian cystectomy with the expected opioid analgesia. Score and advise on the prophylaxis.
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