Apfel score for postoperative nausea and vomiting
PONV risk after inhalational anesthesia, to plan prophylaxis.
Inputs
Female
Nonsmoker
History of PONV or motion sickness
Postoperative opioids expected
Worked calculation
Your values are highlighted.
- Points
When to use
- Before general anesthesia.
Pearls and pitfalls
- Consensus 2020: 1–2 risk factors, 2 antiemetics; 3 or more, 3–4 antiemetics.
Why use
Simple and widely validated.
| Criterion | Points |
|---|---|
| Female | +1 |
| Nonsmoker | +1 |
| History of PONV or motion sickness | +1 |
| Postoperative opioids expected | +1 |