This page is part of the 10N-Matrix for a high quality conduct of pediatric anesthesia.
It refers to the concept No Postoperative Discomfort
The term PONV is used to describe nausea and/ or vomiting or retching in the immediate 24 postoperative hours.
Children undergoing anesthesia and surgery are at high risk for PONV. PONV leads to additional discomfort, morbidity and costs.
PONV is an unpleasant experience resulting in a variety of significant consequences which include:
- additional burden for the child, parents, clinician and nurses
- increased postoperative morbidity, pain, dehydration and surgical complications
- delayed discharge and increased re-admission
- additional medication and increased workload
Prevention and treatment
- assessment of patient, surgical and anesthesia related risk factors
- establish local standard operating protocols for the prevention and treatment of PONV according to established guidelines
- exclude and treat other underlying factors unrelated to current condition (intestinal, brain, hypotension, allergic reaction)
- see corresponding APAGBI guideline
- coming soon…
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- No Fear / No Awareness
- Normal Heart Rate
- No Postoperative Discomfort:
- No Pain
- No PONV
- No Emergence Delirium