Recent progress in postoperative nausea and vomiting after thyroidectomy - Takeaways - MDSpire

Recent progress in postoperative nausea and vomiting after thyroidectomy

  • By

  • Qihao Zhao

  • Fuling Song

  • Meimei Cui

  • Haoping Jia

  • Rongzhan Fu

  • Guanghan Wu

  • Dongsheng Zhou

  • July 8, 2026

  • 0 min

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  • 1

    Postoperative nausea and vomiting (PONV) is a common complication after thyroidectomy, occurring in 60%-84% of patients without prophylaxis.

  • 2

    PONV can lead to serious complications, including cervical hematoma, wound dehiscence, and airway compromise.

  • 3

    Risk factors for PONV include female sex, non-smoking status, history of motion sickness, and exposure to volatile anesthetics.

  • 4

    Evidence-based multimodal prophylactic strategies, including total intravenous anesthesia and serotonin receptor antagonists, are recommended to reduce PONV.

  • 5

    Individualized risk assessments and targeted antiemetic strategies are essential for improving postoperative outcomes in thyroidectomy patients.

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