Spinal Disease
Conditions
Keywords
postoperative nausea and vomiting, oral carbohydrate beverage
Brief summary
Many patients receiving opioid based analgesia after spinal surgery experience postoperative nausea and vomiting (PONV) despite prophylaxis and treatment with antiemetic agents. Dehydration caused by fasting prior to surgery is associated with the development of PONV. The aim of this study is to investigate the effect of oral carbohydrates loading prior to surgery in patients at high risk of PONV undergoing spinal surgery.
Interventions
oral carbohydrate beverage (12.8% carbohydrates, 50 kcal/100ml, 290 mOsm/kg, NO-NPO®, Daesang WelLife Co., Ltd., Korea) 400ml in the evening of the day before surgery and at 6 am on the day of surgery, respectively
NPO from midnight of the day before surgery
Sponsors
Study design
Eligibility
Inclusion criteria
* female patient between 20 and 65 of age with ASA physical status Ⅰ-Ⅱ * patient scheduled for elective spine surgery * no smoking history
Exclusion criteria
* hepatorenal disease * BMI \> 35 kg/m2 * gastrointestinal disease * vomiting within 24h * administration of antiemetics or opioids within 24 h prior to surgery * pregnant * problem with communication
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| incidence of nausea and vomiting | 48 hours |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| severity of nausea | 48 hours | 11-point numerical rating scale (0: no nausea \ 10: worst imaginable nausea) |
Countries
South Korea