Postoperative Nausea and Vomiting
Conditions
Brief summary
Ramosetron is effective in preventing postoperative nausea and vomiting. Several studies reported that ramosetron is also effective treatment diarrhea-predominant irritable bowel syndrome. The investigators examine the effect of ramosetron used for preventing postoperative nausea and vomiting on bowel motility.
Detailed description
Ramosetron, a new potent and long-acting selective 5-HT3 receptor antagonist, is effective for preventing postoperative nausea and vomiting. Also several studies reported that ramosetron is effective treatment of irritable bowel syndrome because it inhibits the accelerated colonic transit, abnormal colonic water transport, defecation abnormality, and the lowered colonic perceptual threshold by corticotrophin-releasing hormone. There is no study about the effect of ramosetron used for preventing postoperative nausea and vomiting on postoperative bowel motility. In this study, the investigators examine the effect of ramosetron on postoperative bowel motility.
Interventions
Patients received intravenous ramosetron 0.3 mg at end of surgery and 24hr after surgery.
Sponsors
Study design
Eligibility
Inclusion criteria
* 20-70 yr of age, * ASA I or II, * scheduled for laparoscopic colorectal surgery
Exclusion criteria
* antiemetic use within 24hr prior to surgery * steroid use within 24hr prior to surgery or 48hr after surgery * insulin dependent DM * cardiovascular or pulmonary disease * renal or hepatic insufficiency * BMI \>=35kg/m2 * pregnancy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| time from surgery to passage of gas | within 10days after surgery |
| time from surgery to defecation | within 10 days after surgery |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| incidence and severity of postoperative nausea and vomiting | 0 - 6 hours, 6-24 hours, and 24-48 hours after surgery | incidence: number of patients who experienced postoperative nausea and vomiting severity: verbal rating scale (VRS, 11 point scale) 0= no nausea to 10 = worst possible nausea |
Countries
South Korea