Postoperative Nausea and Vomiting in Surgical Gastroenterology Postoperative nausea and vomiting (PONV) and acute postoperative pain are the most harmful symptoms for the patient. Nevertheless, a high-dose postoperative pain therapy can lead to PONV, beside special anesthetic procedures. Although pain therapy has become more and more comfortable, an incidence of PONV of 30% has been reported in in- and outpatient procedures in the literature. 78% of the responsible surgeons declared PONV as a daily routine problem, 82% would like to have a better PONV management. In contrast to this, only 28% of the general surgical patients received an antiemetic therapy. This review analyzes the actual procedures for prophylaxis and therapy of PONV. A prophylaxis with antiemetic drugs can prevent PONV in 85% of the patients. A combination of PONV-relieving drugs resulted in 96% of PONV-free patients. The responsible surgeon therefore should be aware of this problem and of the effective treatment strategies to avoid PONV.

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2007
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