PONV does not cause death. However, having PONV after surgery makes patients so miserable it often makes them wish for it. PONV can have serious implications for surgery outcomes.
In rare cases, extreme retching from PONV can tear the esophagus, the tube that takes food from the mouth to the stomach. More commonly, PONV tears sutures or causes blood clots (hematomas).
"I was very naive about eliminating PONV. Without generating profits for some patent-protected drug (i.e. a 'proprietary' as opposed to a generic one) as part of the PONV solution, little notice would be given to the 'solution,' no matter how simple, safe or cost efficient," Friedberg commented.
Dr. Apfel's chapter appears 'deep' in Miller as Chapter 86 of 102. Hence, it may not garner as much attention as it warrants, especially for patients who've experienced PONV and were hoping for change from the anesthesia profession.
Since August 2001, CosmeticSurgeryAnesthesia.com has been empowering patients to ask for PK anesthesia, a safer alternative to general anesthesia for cosmetic surgery.
With Dr. Apfel's endorsement of PK anesthesia now published in Miller's 'Anesthesia' as further validation, more patients may get their request fulfilled, especially if they bring a copy of this release with them when they have their consultation with their surgeon.
In 1992, Dr. Barry Friedberg developed PK anesthesia to maximize patient safety in http://www.reuters.com/article/pressRelease/idUS90064 14-Oct-2008 PRN20081014 [office-based anesthesia for
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