Nausea & VomitingDarrell R. Latva, D.P.M.Founder: Mt. Sinai Residency
At least after death youre not nauseous Woody Allan in Sleeper
The Goals and Objectives for Today:IntroductionPhysiologyHistory, History, HistoryTreatment
Introduction
CommonMultifactorial$ $ $ + TimeBut most importantly is.?
Physiology
History, History, History
Who needs prophylaxis?The Duke University studyFactors under your controlFactors not under your controlMulti-modal therapy: a concept that works
Treatment of PONV
Somewhere around eighteen drugs have been utilized, at one time or another, to treat PONV. These include
SteroidsDexamethasoneButyrophenones (D2 antagonist)Droperidol (Black box!)Benzamides (D2 antagonist)MetoclopramideAntihistamines (H1 antagonist)PromethazineM1 antagonistsScopolamine5HT3 antagonistsOndansetronNK1 antagonist (SPA)Aprepitant
The End!