Abstract:

Postoperative nausea and vomiting (PONV) is one of the most common complications following pediatric day surgery, with an incidence ranging from 70% to 80%. It significantly impacts patient comfort, recovery progress, and the efficiency of day surgery. With the widespread implementation of the day surgery model in pediatrics, the prevention and management of PONV have become a crucial component of perioperative care. However, factors such as the unique physiological characteristics of children, the diversity of surgical procedures, and the current lack of standardized prevention and management strategies necessitate the systematic integration of existing evidence to guide clinical practice. This review aims to summarize the latest advancements in risk factors, assessment tools, pharmacological and non-pharmacological preventive measures for PONV in pediatric day surgery. It also explores the value of multimodal combined prevention strategies in optimizing PONV management. The goal is to provide scientific and standardized references for clinical practice, thereby improving the surgical experience and recovery quality for pediatric patients.

Key words: day surgery, postoperative nausea and vomiting, multimodal prevention, non-pharmacological intervention, child