Is it a Problem for Children after Posterior Fossa Craniotomy?
Susan M. Neufeld, Belinda Dundon & Herta Yu The successful management of nausea and vomiting is a fundamental part of the multidisciplinary care of children after neurosurgery. From clinical observation, children who have undergone posterior fossa surgery appear to be at risk for long lasting, severe, and unremitting nausea and vomiting. This clinical observation has not been substantiated by any research. To develop protocols for preventing and treating nausea and vomiting after posterior fossa surgery, we need to describe the extent of the problem and the characteristics of those children who experience nausea and vomiting. We will present the results of our 6 year retrospective chart (March 2001–March 2007) audit of 249 children in order to elucidate the extent of the problem of postoperative nausea and vomiting in this vulnerable group of children. Recommendations include: the development of clinical practice guidelines that take into account the risk period for these children; kno