Is there an executive summary of the 5th consensus guidelines for the management of postoperative nausea and vomiting published in the September issue of Anaesthesia and Analgesia (page 26)?

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Last updated: November 11, 2026 • View editorial policy

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Availability of 5th Consensus Guidelines Executive Summary

Yes, the 5th consensus guidelines for the management of postoperative nausea and vomiting (PONV) were published in Anesthesia and Analgesia, with the most recent comprehensive update appearing in 2014 1. However, I cannot confirm the specific September 2026 page 26 reference you mentioned, as the evidence provided shows the 2014 guidelines as the most recent complete consensus document available in this journal.

Historical Context of PONV Consensus Guidelines

The PONV consensus guidelines have been published as a series of evidence-based updates:

  • First edition: 2003 2
  • Second edition: 2007 (referenced in subsequent publications)
  • Third edition (most recent confirmed): 2014 1

The 2014 guidelines represent the fourth set of consensus recommendations, not the fifth, compiled by a multidisciplinary international panel under the Society for Ambulatory Anesthesia auspices.

Content of the 2014 Consensus Guidelines

The 2014 guidelines provide comprehensive, evidence-based recommendations covering 1:

  • Risk identification in adults and children
  • Baseline risk reduction strategies
  • Most effective single and combination antiemetic prophylaxis regimens
  • Non-pharmacologic approaches
  • Treatment strategies when PONV occurs
  • Clinical implementation algorithms
  • Quality assurance measures

Current Evidence-Based PONV Management

While awaiting confirmation of a 2026 publication, current best practice based on available guidelines recommends 3:

Risk Assessment:

  • Use validated scoring systems (Apfel score most common)
  • Score ≥1: combination of 2 first-line antiemetics
  • Score ≥2: combination of 2-3 antiemetics from different classes

Multimodal Prophylaxis Strategy 4:

  • 5-HT3 antagonists (ondansetron, granisetron)
  • Dopamine antagonists (metoclopramide, droperidol)
  • Corticosteroids (dexamethasone 8 mg IV) 5
  • Combination regimens significantly more effective than monotherapy

Additional Preventive Measures 3:

  • Total intravenous anesthesia (TIVA) over volatile gases
  • Multimodal analgesia to reduce opioid requirements
  • Prophylactic paracetamol/acetaminophen

Verification Recommendation

If you are seeking a specific September 2026 publication on page 26 of Anesthesia and Analgesia, I recommend directly accessing that journal issue, as this would represent a very recent publication not yet indexed in the evidence base provided. The 2014 guidelines 1 remain the most recent comprehensive consensus document confirmed in the available literature.

References

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This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.