Journal Reviews

A novel way to reduce postoperative nausea and vomiting

1 January 2019 | | complications, functional endoscopic sinus surgery, incidence, lidocaine, nausea, sphenopalatine ganglion block, vomiting

This is an interesting RCT which evaluates the prophylactic effect of bilateral endoscopic injection of local anaesthetic in the sphenopalatine ganglion (SPG) on postoperative nausea and vomiting (PONV). It has a robust design, and is sufficiently powered and blinded, with...

Preoperative planning of the surgical patient

9 October 2017 | | Airway assessment, Medical history, Medication reconciliation, Patient preparation, Perioperative antibiotics, Postoperative analgesia, Postoperative nausea and vomiting, Transference of care

This article covers the need to effectively optimise patient status preoperatively to help maximise postoperative outcomes. The article is well written and emphasises close liaison with anaesthetic colleagues particularly regarding airway assessment and nausea and vomiting. As is becoming common...

IV dexamethasone versus LA infiltration during paediatric tonsillectomy

1 May 2017 | | Analgesics, Corticosteroids, Local infiltration, Pain, Postoperative vomiting

Postoperative nausea and vomiting following tonsillectomy is important to control for improved oral intake and satisfaction following surgery. Optimal management is still debated. This team from Beirut conducted a randomised double blind clinical trial comparing the effect of intravenous dexamethasone...