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 journalArticlepeer-review

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 languageEnglish (US)
Pages (from-to)4138-4140
Number of pages3
JournalObesity Surgery
Volume30
Issue number10
DOIs
StatePublished - Oct 1 2020
Externally publishedYes

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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