Postoperative nausea and vomiting (PONV)
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Female, aged 18-64; 2. ASA (American Society of Anesthesiologists) physical status I-II; 3. Patients scheduled for elective gynecological laparoscopic surgery under general anesthesia with intubation; 4. Normal or mildly abnormal liver and kidney function before surgery; 5. Informed consent signed by the patient herself or her legal representative.
Exclusion criteria
Exclusion criteria: 1. Preoperative baseline heart rate <50 bpm (average of 3 consecutive measurements at rest); 2. Presence of nausea or vomiting before surgery; 3. Allergy or contraindication to study-related drugs such as amisulpride, dexmedetomidine, sevoflurane, propofol, etc.; 4. Significant abnormalities in heart, lung, liver, or kidney function; 5. Previously diagnosed chronic digestive system disease; 6. History of PONV or motion sickness; 7. Presence of hearing impairment or intellectual developmental disorder (unable to cooperate with scale assessment and follow-up).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Complete response (CR) rate for postoperative nausea and vomiting within 24 hours after surgery; | — |
Secondary
| Measure | Time frame |
|---|---|
| LSEQ scores on postoperative days 1–3;Incidence of adverse events within 7 days after surgery;Rescue antiemetic use within 24 hours after surgery;The frequency of nausea/vomiting within 24 hours after surgery.;Incidence of significant nausea within 24 hours after surgery;Insomnia Severity Index (ISI) score at discharge;Pittsburgh Sleep Quality Index (PSQI) score at discharge; | — |
Countries
China
Contacts
The First People’s Hospital of Hefei