AB272. SOH26AB_0104. Post-operative nausea and vomiting in paediatric day cases

Post-operative nausea and vomiting (PONV) is common in children and can significantly delay recovery and discharge from day-case pathways. The 2016 Association of Paediatric Anaesthetists (APA) PONV guideline defines key risk factors (age >3 years, history of PONV/motion sickness, female gender, surgery type and length, use of volatile anaesthetics, use of long-acting opioids) and recommends ondansetron prophylaxis for increased-risk children and dual-agent prophylaxis for high-risk children. Rescue treatment should use an agent from a different pharmacological class. Notably, cyclizine is not recommended for established PONV in children. We assessed adherence to APA recommendations.