PONV must be considered as a side-effect of anesthetics when given to sensitive patients. The patient`s risk of PONV after general anesthesia can best be estimated by a "simplified risk score".
Paul Phelps, O. Serpil Cakmakkaya, Christian C. Apfel, and Oliver C. Radke
Shoulder pain is a frequent symptom after laparoscopic surgery that is often considered to be more severe than the surgical pain itself. It is assumed that the main trigger is remaining carbondioxide that leads to irritation under the diaphragm. However, we have been able to demonstrate that shoulder pain may be reduced with a simple clinical technique consisting of 5 pulmonary recruitment maneuvers in Trendelenburg position after the deflation of the capnoperitoneum.
We all have a good idea about how our patients feel after their surgery, because we care for them in the PACU. And very often, patients receive a follow-up call on the next day. However, while most of us have some idea who might not do well postoperatively, there is no prospective survey that tried to predict who will suffer from postdischarge nausea and vomiting (PDNV) and to what extend these symptoms affect their daily living.
