4 easy steps to manage PONV (post operative nausea vomiting)
The 4 magic steps to prevent PONV are:
1) Calculate risk
2) Lower risk
3) Preventative treatment
4) Rescue treatment
Here's the article:
pubmed.ncbi.nlm.nih.gov/32467...
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Пікірлер: 14
I wish you’d been my anaesthesiologist……I spent 7 hours in recovery after foot surgery with PONV, ended up staying in for 2 nights after what should have been day surgery!! Zero risk assessment…I now know I have 4 flags so 80% chance. I pray I never need a GA again but if I do I’ve made it my business to know more than the doc……😂😂😂
wow! very helpful, thanks for this interesting video bro
Great video. I guess I am Super High Risk for PONV but I am also allergic to steroids and bupivane. Getting a THP soon.Wish me luck.
Great presentation. Thanks!
I've had 4 major surgeries from cracking open my spine to having big big cuts along my abdomen. I would take them over the nausea. My 1st surgery had no issues. 2nd one I was nauseous for 2 days. Next surgery, took 1 week to get over the nausea. Last surgery, I was in the hospital for 3 weeks because of the vomiting. It was happening every 20 minutes like clock work. In all cases, the moment they had me drink or eat something (and it's very minor amount) within 15 minutes the flood gates would open. All my surgeries were in my 30s and 40s. I fear that if I ever have surgery again the nausea will kill me. On the flip side, with all these surgeries not once did I ever felt pain. Not even a little bit. I feel more pain from paper cuts than having my back cracked open. My siblings and father have the same super power. They don't get sick though but they also haven't had as many surgeries as I did.
@jesse8541
6 ай бұрын
What medication did you take? My mother has been like this for almost 3 weeks!
In my hospital setting, most of the time it's Dexamethasone 8mg post induction and Ondansetron 4mg prior to extubation. If the nausea feeling persists, we'll add on Maxolon 10mg.
Would you give dexamethasone for a Diabetes patient?
Is zofran good with phenergan?
@ladyjane9980
8 ай бұрын
They usually use one or the other but not usually not together.
Too much talking
All lies I still threw up
Dude, just do NOT drink or eat soon after waking up from anesthesia, wait a few hours to start with small sips to ensure the nauseas feeling is not activated. Patients may feel very very thirsty but just need to tolerate. Don't need no scientific analysis.
@tolatuan905
Жыл бұрын
But in some cases, if the patients have a long NPO, esp in GERD ppl, that usually increase gastric fluid volume and decrease that pH. It partly causes risk to aspiration.