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Obesity Surgery
Published in: Obesity Surgery 10/2020

01-10-2020 | Obesity | Brief Communication

Preventing Nausea and Vomiting After Bariatric Surgery: Is the Apfel Risk Prediction Score Enough to Guide Prophylaxis?

Authors: Patrick Ziemann-Gimmel, Roman Schumann, Wayne English, John Morton, Anupama Wadhwa

Published in: Obesity Surgery | Issue 10/2020

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Abstract

Postoperative nausea and vomiting (PONV) is a frequent side effect in patients undergoing bariatric procedures. The simplified Apfel score is an attractive and frequently used tool to assess PONV risk in the general surgical population. Despite applying the recommendations based on the Apfel risk prediction score, several studies show that up to 82% of patients undergoing metabolic and bariatric surgery suffer from PONV in the PACU. A combination of multiple antiemetic drugs of different pharmacologic classes targeting a variety of receptors in addition to an intraoperative opioid-free TIVA technique should be considered in high-risk patients.
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Metadata
Title
Preventing Nausea and Vomiting After Bariatric Surgery: Is the Apfel Risk Prediction Score Enough to Guide Prophylaxis?
Authors
Patrick Ziemann-Gimmel
Roman Schumann
Wayne English
John Morton
Anupama Wadhwa
Publication date
01-10-2020
Publisher
Springer US
Published in
Obesity Surgery / Issue 10/2020
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-020-04682-2

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