Authors: Benzon H, et al.
Anesthesia & Analgesia. 2025;141(1):74–76.
This editorial highlights the persistent challenge of postoperative nausea and vomiting (PONV) in pediatric patients, noting that the incidence is nearly twice as high in children compared to adults. PONV can lead to dehydration, delayed discharge, unplanned admissions, and increased healthcare costs. The authors discuss the importance of prophylaxis, emphasize guideline-based management, and note that adherence to the 2020 Fourth Consensus Guidelines remains inconsistent in pediatric care.
Key risk factors in children include age under 3 years, history of PONV or motion sickness, use of volatile anesthetics and opioids, and certain surgeries such as tonsillectomy. The editorial stresses the need for more pediatric-specific research and better implementation of risk-based strategies, including updated clinical pathways like those for Enhanced Recovery After Surgery (ERAS).
We thank the IARS for allowing us to share this important commentary and encourage anesthesia providers to join this outstanding organization that supports evidence-based practice and improved patient outcomes.