Miller Anestesia

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Tratamiento de rescate sin demora
Las opciones de tratamiento de rescate son intervenciones que
no se han aplicado antes o en las que la vida media sugiere que
ya no son activa Los antagonistas de la serotonina, si no se
administraron en el quirófano, pueden ser el primer tratamiento
en la URPA ya que carecen de efecto sedante. También, aña-
diendo dexametasona al dolasetrón o al haloperidol pueden
aumentar la reducción global de riesgo de precisar tratamiento
de rescate (de nuevo, si no se ha administrado antes Final-
mente, la estimulación del punto P6 de acupresión puede ser una
opción válida, ya que ha demostrado ser eficaz en la prevención
de las NVPO.
Bibliografía
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acute postoperative pain management: I. Evidence
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1993.
3. CohenMM, Duncan PG, DeBoer DP,
postoperative interview: Assessing risk factors for
nausea and vomiting. Anesth Analg 78:7-16, 1994.
4. Koivuranta M, Laara E, Snare L, Alahuhta S: A
survey of postoperative nausea and vomiting.
Anaesthesia 52:443-449, 1997.
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risk score for predicting postoperative nausea and
vomiting: Conclusions from cross-validations
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and vomiting. Acta Anaesthesiol Scand 44:480-488,
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propofol versus inhalation anesthesia with isoflurane-
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risk factors for postoperative nausea and vomiting.
Anesthesiology 98:46-52, 2003.
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Anesthesiology 77:162-184, 1992.
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89:652-658, 1999.
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willing to pay to avoid postoperative nausea and
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ness to pay for anti-emetic treatment. Acta Anaes-
thesiol Scand 51:38-43, 2007.
13. Darkow T, Gora-Harper ML, Goulson DT, Record
KE: Impact of antiemetic selection on postoperative
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macotherapy 21:540-548, 2001.
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sema, pneumomediastinum and bilateral pneumo-
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effectiveness of prophylactic antiemetic therapy
Náuseas y vómitos postoperatorios 2517 76
Sección VI
Cuidados postoperatorios
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Figura 76-14Algoritmo para el tratamiento del las NVPO.