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.

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