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Postoperative nausea and vomiting

Name: Postoperative nausea and vomiting
Creator: Brian Sweeney
Keywords: 03 medical and health sciences, 0302 clinical medicine, 3. Good health

descriptionPublicationkeyboard_double_arrow_right Article 10 Aug 2006 English Publisher:BMJJournal:BMJ, volume 333, pages 313-314 (issn: 0959-8138, eissn: 1468-5833,

Authors: Brian Sweeney;

doi: 10.1136/bmj.333.7563.313

Postoperative nausea and vomiting

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Abstract

Metaclopramide with dexamethasone works and has few side effects F ifteen years ago Kapur described postoperative nausea and vomiting as the “big, little problem,”1 a description that still applies despite the best efforts of doctors and drug companies. In this issue of the BMJ , Wallenborn and colleagues revisit the use of metoclopramide to prevent postoperative nausea and vomiting.2 In the United Kingdom, metoclopramide is no longer a popular choice for prophylaxis or treatment. This is because the standard 10 mg dose is not very effective3; metoclopramide has unpleasant side effects such as extrapyramidal symptoms, especially with repeated doses; and it has been supplanted by newer agents that are more expensive …

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