Consensus Guidelines for the Management of PONV

Adapted from TJ Gan et al. Anesthesia & Analgesia 2014;118(1):85-113

Female Gender

Non-Smoker

History of PONV

Postoperative Opioids

Apfel Simplified Risk Score: 0

Reset PONV Risk = 10%


Low Risk: Prophylaxis may not be indicated

If prophylaxis fails use antiemetic from different class than prophylactic drug.

Readminister only if >6 hours after PACU.

Do not readminister dexamethasone or scopoloamine.