Rescue, Reduce, Prevent: The New Era of PONV Management

In this episode, we explore the Fifth Consensus Guidelines for the Management of Postoperative Nausea and Vomiting, the latest international update designed to guide clinicians toward more effective prevention and treatment strategies. These updated recommendations reflect a growing body of research and introduce several important shifts in how anesthesia providers approach PONV. From expanded use of multimodal prophylaxis to greater emphasis on risk reduction strategies and post-discharge nausea and vomiting, the new guidelines encourage clinicians to think more proactively and systematically about managing this common complication.

Here’s some of what you’ll hear in this episode:

🤢 PONV is still one of the most common anesthesia complications

🧩 The new guidelines emphasize multimodal prevention

📊 Risk scoring still matters—but clinical judgment matters more

💊 Combination antiemetic therapy is now encouraged

 

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🏠 Think beyond the PACU