Anesthesiologist Questions Anesthesia

Nausea after surgery

Every time I have had anesthesia I throw up afterward. The doctors have tried giving me anti-nausea drugs but they don't seem to help. Do you have any suggestions for the next time? Unfortunately I need to have surgery again soon.

18 Answers

Your anesthesia can be fine with non triggering agents, you can have prophylactic anti nausea drugs and minimum narcotics to help.
Make sure you discuss this with your anesthesiologist that day. There are a variety of medications and combinations that can be given. He or she will determine the best therapy for you.

Find out specifically what anti nausea medication that was administered to you in the past that was ineffective. Then if you must have general anesthesia for your upcoming surgery, make it clear to your anesthetist that you need an alternative, and perhaps dual or triple therapy before surgery. Consider a scopolamine patch administered before surgery, aggressive intravenous hydration if your surgery is later in the day, and opt for regional anesthesia if your surgery can be done with local anesthesia with sedation instead of general anesthesia alone.
If possible avoid general anesthesia and have a regional nerve block technique. Inform the anesthesiologist of your severe problem. Scopolamine patch prior to surgery may be prescribed in severe cases. This all must take into consideration your medical history and is not specific for you as I am not your physician.
If at all possible ask for regional anesthesia
And or total intravenous anesthesia with propofol
Instead of inhalation’s gases that are the main
Culprit for nausea and vomiting

F lalehzarian MD
The best options are to fast at least 12 hours prior to surgery, receive a scopolamine patch prior to surgery, have your anesthesiologist empty your stomach while you are asleep, and give at least 2 different anti-emetics before you wake up, with minimal use of narcotics.
If you are having another anesthetic at the same hospital you could ask for a consult with an anesthesiologist who could review your previous anesthetic records before your next surgery. A physician anesthesiologist may be able to prescribe different type of anesthetic foryour next surgery.
Try a scopolamine patch a few hours before surgery. See if your anesthesiologist is willing to do a TIVA (total intravenous anesthesia) technique with you.
Consult with your MD and
Depends on type of surgery and at what point you are given anti nausea drugs. If it's a fairly simple surgery, a propofol drip can be used as main anesthetic or regional anesthesia like spinal, epidural or nerve block.
And i have to add.The day before surgery..avoid..fatty foods.avoid
spicy foods..avoid alcoholic beverages . Just take light meals.And try to
Hi, there are certain things that increase a person's risk for nausea and there are a few things that we can do to mitigate the risks. Things that increase risks of nausea include being female, non smoker, history of motion sickness, general anesthesia with volatile anesthetic agents and certain types of surgeries which include gynecological procedures, ENT, etc.,.. there is a point assigned to each of these factors and anyone with greater than 3 points is at a high risk. There are things that we can do to decrease nausea with surgery. Some of these are challenging for the anesthesiologist, but can be done with some experience without a problem. Being well hydrated(this reduces risk of nausea for a few reasons.) please. Review the guidelines with the provider. The new guidelines allow water up to 2 hours before surgery. Scopolamine(Dramamine) patch. Zofran and decadron administered during surgery. Non volatile agent containing general anesthesia(TIVA) if general anesthesia is needed. Opiate free anesthesia if appropriate. Very small doses of droperidol or haldol if available. I hope this helps, good luck. Let me know how it goes.
Nausea can sometimes be a very difficult problem. If a patient is known to have postoperative nausea or vomiting, certain medications can be given and some can be avoided. For instance, avoiding narcotics can lessen your chance of postoperative nausea or vomiting. Others can be given to prevent this problem. It is best to mention it to your anesthesiologist so a plan can be made ahead of time.
Make sure that they throw everything at you. Ondansetron, Dexamethaosone, induction with propofol and potentially maintain anesthesia with propofol (TIVA- total intravenous anesthesia), short acting volatile anesthetics.

good luck

Bradley A. Urie M.D.
Postoperative nausea and vomiting also referred to as PONV is common following surgery, especially General Anesthesia. Experience has shown that there are many factors which should be considered for PONV...Just to name a few: (1) Gender, (2) Age, (3) Smoker vs non smoker, (4) patient's history of PONV, Motion sickness (5) Migraine headaches, (6)Obesity, (7) severe anxiety...Then you need to consider post op Pain, Opioid administration...AS you can see the answer is not a simple one
If you are naturally prone to sickness for e.g. sea sickness or motion sickness, then it is likely that you will be sick when you wake up from conventional anesthesia, that is the inhalation type. Other factors that contribute to sickness with anesthetics is the type of procedure, medication in use, anesthetic agents in use.

Things an anesthetist can do to avoid that in severe cases:

1. Use multiple anti-sickness drugs that work in different ways, so if one fails, then you still have some hope that the other anti-sickness drugs will work.
2. Increase gut motility by giving medication as a premed.
3. Ensure adequate hydration during the procedure.
4. Use TIVA - total intravenous anesthesia, which has has amazing results. In this case, the anesthetic is injected continuously using a pump into a vein rather than inhaling a vapor while asleep.
I would suggest placing a scopolomine patch behind your ear only if you have motion sickness. It is sometimes not asked by all Anesthesia providers. I would also suggest asking for the antinausea medications before and after surgery.
Post-op nausea is unfortunately very common. Aside from IV medications administered in the OR, you might consider a scopolamine patch prior to your anesthetic. This patch works in the background and can help prevent nausea.

Avoiding a general anesthetic is the most obvious choice. The use of blocks and spinals (depending on the type of surgery) can help reduce the likelihood of PONV.

If you do need a general, having a Total IV Anesthetic (no anesthetic gas is used here) is the best method to prevent this occurrence. Speak with your anesthesiologist about what options you do have available and see if a TIVA (total IV) is appropriate.

Go into surgery believing that you will do well afterwards. Your mindset is also very important. Don't assume you will have nausea just because it happened before. When you do find a combo that works, jot the details down and ask for it in the future.

Hope this helps. Best of luck to you!