postoperative nausea and vomiting analgesia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: voluntariness; preoperative written confirmed consent, elective surgery with use of heart-lung machine or implantation of transapical aortic valve (TAVI), adequate knowledge of the German language, 18 years of age
Exclusion criteria
Exclusion criteria: 8.5%, concomitant treatment with opioids or antidepressants, eye drugs for topical application, psychiatric disorder. Secondary: BDI > 20 points, early postoperative complications, intraopertive injection of atropine, MCP/ DHB, intraopertive hypothermia <32°C.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| • Patients who undergo elective cardiac surgery and receive intraoperative opioids due to pupillometry will be extubated earlier than patients who receive opioids due to clinical parameters (without pupillometry) • Patients with cardiac surgery and intraoperative analgesia due to pupillometry will suffer less postoperative nausea and vomiting than patients who receive opioids due to clinical parameters (without pupillometry) | — |
Secondary
| Measure | Time frame |
|---|---|
| • Postoperative pain (NRS, numerical rating scale, 0-10) on day one and day two after surgery • Incidence of re-Intubation with early respiratory insuffiency (< 24h after extubation). • Intraoperative consumption of analgesics • Postoperative consumption of analgesics on day one and day two after surgery. • Incidence of postoperative delirium on day one and two after surgery. • Intraoperative correlation between pupillometry and BIS. • gender difference for all diagnosed parameter (z.B. PONV, NRS pupil diameter). • Incidence rate on further postoperative complications on day one and two after surgery. | — |
Countries
Germany
Contacts
Klinik für Anästhesiologie, Intensiv-, Palliativ- und Schmerzmedizin; Berufsgenossenschaftliches Universitätsklinikum Bergmannsheil, Bochum