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British Journal of Anaesthesia, 2002, Vol. 89, No. 6 810-813
© 2002 The Board of Management and Trustees of the British Journal of Anaesthesia

Editorial

Editorial II

Why does smoking protect against PONV?

B. P. Sweeney1

1 Poole and Royal Bournemouth Hospitals, Department of Anaesthesia, Royal Bournemouth Hospital, Castle Lane East, Bournemouth, Dorset BH7 7DW, UK E-mail: bpsween@aol.com

The first 150 words of the full text of this article appear below.

Postoperative nausea and vomiting (PONV) are among the most common and feared postoperative complications and can occur after both general and regional anaesthesia. Many adults find PONV more distressing than postoperative pain.1 Over the last decade, there has been some improvement in the understanding of the aetiology, and pathophysiology of PONV and, together with the introduction of new and effective antiemetics there has been some progress into finding a solution to the problem. Unfortunately, however, PONV, which has been described by Kapur as ‘the big, little problem’,2 remains an unpleasant and sometimes intractable side-effect, which continues to challenge and frustrate anaesthetists. In today’s world of cost-effective medicine, where there are ever-increasing pressures to avoid even minor side-effects of treatment, there has been an explosion of papers on the subject in which every aspect of risk, prevention, anaesthetic technique, and management strategies have been examined. PONV has also been the subject . . . [Full Text of this Article]


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