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Forgive my paraphrasing of the Bard but nowhere has the issue of PONV been spoken to with more
succinct words than those of my friend and colleague, Chris Pollock, a British anesthetist, who said, “If you want people to stop throwing up, stop giving them drugs that make them throw up.” When the
issue of PONV comes up in my practice, I tell my patients with previous such experience that their
sensitivity is like being a bucket of gasoline. If you don’t throw a match (emetogenic agents like opioids
or inhalational vapors, for example), you won’t need to worry about what fire extinguisher (anti-emetics) to use. |
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Copyright© 2001- by Barry L. Friedberg, M.D., A.M.C.,
All Rights Reserved |
