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

Patrick Ziemann-Gimmel; Roman Schumann; Wayne English; John Morton; Anupama Wadhwa

doi:10.1007/s11695-020-04682-2

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

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

Research output: Contribution to journal › Article › peer-review

3 Scopus citations

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.

Original language	English (US)
Pages (from-to)	4138-4140
Number of pages	3
Journal	Obesity Surgery
Volume	30
Issue number	10
DOIs	https://doi.org/10.1007/s11695-020-04682-2
State	Published - Oct 1 2020
Externally published	Yes

Keywords

Antiemetics
Bariatric surgery
Metabolic surgery
Morbid obesity
Narcotic free anesthesia
PONV

ASJC Scopus subject areas

Surgery
Endocrinology, Diabetes and Metabolism
Nutrition and Dietetics

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10.1007/s11695-020-04682-2

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

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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AU - Wadhwa, Anupama

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

Abstract

Keywords

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