In Reply We would like to thank Drs Golzari and Mahmoodpoor for their comments regarding our recently conducted study comparing the administration of propofol and ketamine with the use of bispectral index monitoring (PKA-BIS) to inhalational anesthesia (IA) in rhytidoplasty.1 Although major predictors of postoperative nausea and vomiting were not specifically addressed, we did take these well-documented predictors into consideration in our study design. Our study included only female, nonsmoking patients undergoing facial plastic surgery with prolonged surgical times. Therefore, all study patients were considered to be at high risk for PONV.
Jones KA. Factors Contributing to Recovery From Anesthesia and Postoperative Nausea and Vomiting–Reply. JAMA Facial Plast Surg. 2015;17(5):386. doi:10.1001/jamafacial.2015.1066