Health Condition 1: K812- Acute cholecystitis with chronic cholecystitis
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: (1)Age group : 18 - 65 years. (2)Gender : Female patients. (3)ASA grades : ASA grade I and II. (4)BMI : 18 - 40 kg/m^2. (5)Patients posted for elective laparoscopic surgeries. (6)Patients willing to participate and provide informed consent.
Exclusion criteria
Exclusion criteria: Patient refusal. Body mass index less than 18 kg per square meter or greater than 40 kg per square meter. Known allergy or contraindication to study drugs. History of chronic postoperative nausea and vomiting, chronic headache, or psychiatric disorder. Chronic opioid use for more than 3 months or chronic benzodiazepine use. Pregnancy. Prior anticancer chemotherapy within 4 weeks before surgery. Obstructive sleep apnea. Poorly controlled diabetes mellitus defined as HbA1c greater than 9 percent or blood glucose level greater than 180 mg per deciliter on the day of surgery.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare the incidence of PONV in patients receiving midazolam with low dose dexamethasone(4mg)- ondansetron Vs control group receiving conventional dual regimen high dose dexamethasone(8mg)-ondansetron.Timepoint: To compare the incidence of PONV in patients receiving midazolam with low dose dexamethasone(4mg)- ondansetron Vs control group receiving conventional dual regimen high dose dexamethasone(8mg)-ondansetron. The primary outcome will be the incidence of PONV within 24 hours. PONV will be assessed at 0, 0 2, 2 6, 6 12, and 12 24 hr postoperatively using the PONV score,[11] which will range from 0 to 3 (0 = no nausea or vomiting, 1 = nausea, 2 = retching, which means an involuntary attempt to vomit without expulsion of gastric content, and 3 = vomiting). | — |
Secondary
| Measure | Time frame |
|---|---|
| Severity of PONV by VAS. Need for rescue anti emetics, and analgesics. Patient satisfaction Timepoint: 24 hours post operatively. | — |
Countries
India
Contacts
Shri Balaji Institute of Medical Science , Mowa Raipur CG