February, 2004
Ronald D. Miller, M.D.
Editor in Chief
Anesthesia & Analgesia

To the Editor,

Incomplete Guidelines

Congratulations to Gan, et. al. on the recent PONV guideline publication (1). Why wasn't the influence of opioids and/or using propofol ketamine (PK) mentioned?

Barry L. Friedberg, M.D.
Volunteer Instructor in Anesthesia
University of Southern CAlifornia
Los Angeles, CA

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References

1. Gan TJ, Meyer T, Apfel CC, et.al. Consensus guidelines for managing postoperative nausea and vomiting. Anesth Analg 2003;97:62-71.
2. Friedberg BL. Propofol ketamine technique:dissociative anesthesia for office surgery. Aesth Plast Surg 1999;23:70-75.

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