Akademik Veri Yönetim Sistemi
SAGE Open Medicine, cilt.13, 2025 (ESCI, Scopus)
Background: Postoperative nausea and vomiting is a prevalent complication during the postoperative phase. Numerous factors affect postoperative nausea and vomiting, which can be categorized into patient-related, anesthesia-related, and surgery-related factors. The management of postoperative nausea and vomiting is multifaceted and consists of both prophylactic and therapeutic approaches. Objectives: This study aimed to investigate the attitudes and behaviors of anesthesiologists regarding the prophylaxis and treatment of postoperative nausea and vomiting, while also raising awareness of current practices and gaps in adherence to guideline-based management. Methods: This prospective observational study involved the online administration of a web-based questionnaire comprising 17 questions to physicians actively working in anesthesiology and reanimation clinics. The first five questions pertained to demographic data, while the remaining 12 questions assessed anesthesiologists’ attitudes and behaviors regarding the prophylaxis and treatment of postoperative nausea and vomiting. Results: The rate of missing to conduct postoperative nausea and vomiting risk assessments and not providing prophylaxis (n = 67) was 33.5%, whereas the rate of administering prophylaxis with a single agent to each patient without risk assessment (n = 85) was 42.5%. Among the anesthesiologists who participated in the study, the awareness rate regarding the prophylaxis and treatment of postoperative nausea and vomiting was found to be 90.0%. Conclusions: This study demonstrates that, in current clinical practice, postoperative nausea and vomiting risk assessment and prophylaxis remain an overlooked complication. A clear gap exists between awareness and evidence-based practice in postoperative nausea and vomiting management. Therefore, the most appropriate prophylaxis and treatment strategies should be identified on a patient-specific basis. These findings highlight the need for structured risk assessment and guideline-based prophylaxis strategies to optimize patient outcomes.