Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Jun 2004
Clinical Trial[Postoperative nausea and vomiting: cost and therapeutic algorithm. Part II: high-risk patients and late PONV].
To evaluate in high-risk patients and in usual clinical conditions, the efficiency of treatments based on an algorithm on late (24 h) postoperative nausea and vomiting (PONV). ⋯ The use of a PONV therapeutic algorithm based on a scored risk was associated to a lower reduction of late PONV than already published in the literature while the cost was increased as expected. This suggests the efficacy of antiemetic prophylactic treatment might have been overestimated by large multicenter trials and is less in usual clinical conditions. Thus local evaluation of practice is required by performing quality insurance programs.