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Consensus Guidelines for Managing Postoperative …

SPECIALARTICLEC onsensus Guidelines for Managing Postoperative Nauseaand VomitingTong J. Gan,MD*, Tricia Meyer,MS,FASHP , Christian C. Apfel,MD , Frances Chung,FRCPC ,Peter J. Davis,MD , Steve Eubanks,MD , Anthony Kovac,MD#, Beverly K. Philip,MD**,Daniel I. Sessler,MD , James Temo,CRNA,MSN,MBA , Martin R. Trame`r,MD,DPhil , andMehernoor Watcha,MD Departments of *Anesthesiology and Surgery, Duke University Medical Center, Durham, North Carolina; Departmentsof Pharmacy and Anesthesiology, Scott and White Memorial Hospital, Texas A&M University System HSC College ofMedicine, Temple, Texas; Outcomes Research Group and Department of Anesthesiology, University of Wuerzburg,Wuerzburg, Germany; Department of Anesthesia, University of Toronto, Toronto, Canada; Departments ofAnesthesiology and Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania; #Department ofAnesthesiology, University of Kansas Medical Center, Kansas City, Kansas; **Department of Anaesthesia, HarvardMedical School, Boston, Massachusetts.

Guideline 1: Identify Adults at High Risk for PONV Risk factors for PONV in adults are shown in Table 2. The identification of individuals at high risk for PONV

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