Peer Review Assignment Example | Topics and Well Written Essays - 250 words - 1

Peer Review - Assignment Example Studies have indicated that most surgical patients will experience PONV even if medicines were taken for prevention. PONV is a concern that occurs in 20-30% of patients receiving general anesthesia and can be up to 70-80% in high-risk patients (McCracken, Houston, & Lefebvre, 2008). The Society of Ambulatory Anesthesia (SAMBA), developed a set of guidelines to provide up-to-date information for healthcare providers, including strategies to prevent or treat PONV in patients undergoing surgery (Gan et al., 2007). The purpose of this evidence-based practice (EBP) clinical change project is to introduce various practice guidelines for PONV to anesthesia providers that will enhance their knowledge and, improve customer satisfaction, which is essential for the patient’s health and well-being. Nausea can often be described as a subjective, unpleasant sensation associated with a conscious urge or need to vomit(Tinsley &Barone, 2012). Vomiting is coordinated by the vomiting center signaling input from various sources including, the higher cortical center in the brain, the vestibular portion, the chemoreceptor trigger zone (CTZ) and the gastrointestinal tract where afferent pathways are stimulated indirectly by specific neurotransmitters (Tinsley &Barone, 2012). Patients experience delays in the post anesthesia care unit (PACU) for various reasons. According to Chatterjee, Rudra, and Sengupta (2011) vomiting can prolong PACU recovery time up to 25 minutes. During postoperative visits at the project clinical site, patients who have had gynecological and breast procedures have often stated that being nauseated was the most undesirable consequence of surgery, out-ranking even pain. There are several risk factors involved when evaluating a patient for PONV. These risk factors include patients with a prior history of PONV, motion sickness, non-smokers, females and the length and type of surgery (Tinsley &Barone,