Management of postdischarge nausea and vomiting.
作者： Mikhail Dziadzko , Frédéric Aubrun
DOI: 10.1016/J.BPA.2020.10.008
关键词: Intensive care medicine 、 Risk assessment 、 Medicine 、 Ambulatory 、 Antiemetic 、 Vomiting 、 Patient education 、 Nausea 、 Context (language use) 、 Intervention (counseling)
摘要: Postdischarge nausea and vomiting (PDNV) occurs in at least 30% of patients leaving hospital, especially after day-case surgery. A significant number ambulatory may develop PDNV associated with the use analgesics for postsurgical pain. validated prediction score international evidence-based consensus guidelines PONV/PDNV management are available. High-risk benefit from a predischarge risk assessment adapted pharmacological intervention (combination long- short-acting antiemetics access to home). Patient education is often overlooked this context. All clinicians involved surgery care process should participate development institutional protocol management. Constant quality control patients' feedback be integrated as part an efficient implementation strategy.
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