Pre-Anesthesia Evaluation
Postoperative nausea and vomiting (PONV) is one of the most common complications that patients experience in the postoperative period. Therefore, it is important for us to find out the risk factors during the pre-anesthetic examination, and based on them we will determine the Apfel score.
You are an anesthesiologist at a university hospital. A patient, Katarína Kováčová, comes for pre-anesthesia evaluation before her first surgery under general anesthesia, an inguinal hernioplasty. Based on the PONV risk factors, what is the patient’s Apfel score?
EKG
rythm: sinus
action: regular
Examination
Family history: insignificant
Past medical history: insignificant
Previous surgeries: none
Medications: no prescription or illegal drug use
Allergies: none
Tobacco use: none
Alcohol use: a glass of wine 1-2 times a week
Previous anesthesia: none
No history of motion sickness
