Table 2. Patient-, anesthesia-, and surgery-related risk factors for postoperative nausea and vomiting (PONV) in children.
Category | Risk in children (Eberhart classification) 29 |
---|---|
Patient related | History of postoperative vomiting (POV) or PONV in relatives
Age >3 years: it is rare in children <3 years old, increases with age over 3, and decreases again with puberty 29 |
Surgery related | Type of surgery: strabismus
30
Duration of surgery >30 minutes |
The risk of POV for children with 0 to 1, 2, 3, or 4 of these risk factors is associated with an incidence of PONV of 10, 30, 50, and 70%, respectively. This scoring system has also been validated for children having surgery other than strabismus surgery; POV was observed in 3, 11, 30, and 40% of children who had 0, 1, 2 or 3 risk factors, respectively 31.