References

milmed

Военная медицина

Military Medicine

2074-5044

Белорусский государственный медицинский университет

10.51922/2074-5044.2022.1.88

milmed-1014

Research Article

ОБЗОРЫ И ЛЕКЦИИ

REVIEWS AND LECTURES

Обзор 4-й редакции руководства по ведению послеоперационной тошноты и рвоты

Review of the 4th edition of the guidelines for the management of postoperative nausea and vomiting

Теренин

М. А.

Terenin

M. A.

Ялонецкий

И. З.

Iаlonetskii

I. Z.

Грачев

С. С.

Grachev

S. S.

Шматова

А. А.

Shmatova

A. A.

Агаева

А. В.

Agaeva

A. V.

УЗ «6-я ГКБ г. Минска»BelarusУО «Белорусский государственный медицинский университет»Belarus

2022

03112026

0188107

2026

Теренин М.А., Ялонецкий И.З., Грачев С.С., Шматова А.А., Агаева А.В.

Terenin M.A., Iаlonetskii I.Z., Grachev S.S., Shmatova A.A., Agaeva A.V.

Данная работа распространяется под лицензией Creative Commons Attribution 4.0.

This work is licensed under a Creative Commons Attribution 4.0 License.

https://milmed.ejournal.by/jour/article/view/1014

В 2020 году вышла 4-я редакция руководства по ведению послеоперационной тошноты и рвоты (ПОТР), подготовленная международной группой экспертов под эгидой Американского общества ускоренного восстановления и Общества амбулаторной анестезии на основе обзора литературы до сентября 2019 года. Данное руководство включает в себя 7 блоков рекомендаций по профилактике и лечению ПОТР у детей и взрослых. В этом документе содержатся рекомендации по выявлению пациентов с высоким риском развития ПОТР, управление базовыми рисками ПОТР, выбор профилактического и патогенетического лечения ПОТР, а также рекомендации для государственной реализации протокола по ПОТР. Кроме того, последняя редакция руководства сосредоточена на данных о новых препаратах, обсуждении вопроса об использовании общей мультимодальной профилактики и управление ПОТР как части концепции fast track.

In 2020, the 4th edition of the guidelines for the management of postoperative nausea and vomiting (PONV) was released, prepared by an international panel of experts under the auspices of the American Society of Enhanced Recovery and the Society of Ambulatory Anesthesia based on a comprehensive search and review of literature up to September 2019. This guide includes 7 blocks of advice for the prevention and treatment of PONV in children and adults. This document contains recommendations for identifying patients at high risk of PONV development, management of the underlying risks of PONV, the choice of preventive and pathogenetic treatment for PONV, as well as recommendations for the state implementation of the PONV protocol. In addition, the latest revision of the guidelines focuses on data on new drugs, discussions on the use of general multimodal prophylaxis and management of PONV as part of the fast track concept.

послеоперационная тошнотапослеоперационная рвотафакторы рискаоценка рискарекомендациивзрослыедетиондасетрондексаметазонопиоидыпротокол ускоренного восстановления пациента после операциипрофилактикалечениекомбинированная терапияопиоидымультимодальныйнефармакологическийпалата посленаркозного наблюдения

postoperative nauseapostoperative vomitingrisk factorsrisk assessmentrecommendationsadultschildrenondasetrondexamethasoneopioidsprotocol for accelerated patient recovery after surgerypreventiontreatmentcombination therapyopioidsmultimodalnonpharmacologicalpostanesthesia care unit

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The authors declare that there are no conflicts of interest present.