Multimodal therapies for postoperative nausea and vomiting, and pain

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Presentation transcript:

Multimodal therapies for postoperative nausea and vomiting, and pain A. Chandrakantan, P.S.A. Glass British Journal of Anaesthesia Volume 107, Pages i27-i40 (December 2011) DOI: 10.1093/bja/aer358 Copyright © 2011 The Author(s) Terms and Conditions

Fig 1 CTZ and emetic centre. With permission from Watcha and White.73 British Journal of Anaesthesia 2011 107, i27-i40DOI: (10.1093/bja/aer358) Copyright © 2011 The Author(s) Terms and Conditions

Fig 2 Algorithm for management of PONV. SAMBA guidelines for PONV from Gan and colleagues16 with permission. British Journal of Anaesthesia 2011 107, i27-i40DOI: (10.1093/bja/aer358) Copyright © 2011 The Author(s) Terms and Conditions

Fig 3 Effect of multiple antiemetic therapies. With permission from Apfel and colleagues. © Massachusetts Medical Society.9 British Journal of Anaesthesia 2011 107, i27-i40DOI: (10.1093/bja/aer358) Copyright © 2011 The Author(s) Terms and Conditions

Fig 4 Microglia and inflammation. With permission from Maletic and colleagues (2009).147 British Journal of Anaesthesia 2011 107, i27-i40DOI: (10.1093/bja/aer358) Copyright © 2011 The Author(s) Terms and Conditions

Fig 5 Mechanisms of central pain transmission. Reproduced from Costigan and Woolf (2000)148 with permission from Elsevier. British Journal of Anaesthesia 2011 107, i27-i40DOI: (10.1093/bja/aer358) Copyright © 2011 The Author(s) Terms and Conditions

Fig 6 Multimodal approach to pain management. With permission from Raymond Sinatra, MD. British Journal of Anaesthesia 2011 107, i27-i40DOI: (10.1093/bja/aer358) Copyright © 2011 The Author(s) Terms and Conditions