Postoperative Nausea and Vomiting
Conditions
Brief summary
The incidence of postoperative nausea and vomiting (PONV) after general anesthesia is up to 30% when inhalational anesthetics are used with no prophylaxis. This makes PONV one of the most common complaints following surgery under general anesthesia, together with postoperative pain.
Detailed description
This is a prospective, randomized, double-blind controlled clinical trial. Written informed consent will be obtained from patients. Patients will be randomly assigned using the sealed envelope technique into 2 equal groups: Group 1: Patients will receive 10 mg metoclopramide with 4mg ondansetron before induction of general anesthesia. Group 2: Patients will receive 10 mg metoclopramide before induction of general anesthesia.
Interventions
combination of 10 mg metoclopramide with 4 mg ondansetron
10 mg metoclopramide
Induction of general anesthesia will be performed followed by endotracheal intubation.
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients aging 16 years and above * Patients undergoing laparoscopic cholecystectomy under General Anesthesia at Makassed General Hospital
Exclusion criteria
* Patients with history of motion sickness * Patients on previous treatment by anti-emetics for dizziness, vertigo or other causes of nausea and vomiting * Patients with any type of allergy to metoclopramide or ondansetron * Patients refusing to be part of the study (refusal to sign consent) * Patients on previous treatment by opioids
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| postoperative nausea and vomiting | 36 hours postoperatively | The Primary aim of this study is to compare the effect of prophylactic combination therapy (dual therapy) metoclopramide-ondansetron vs. ondansetron monotherapy for the treatment of postoperative nausea and vomiting after laparoscopic cholecystectomy. This will be assessed through a questionnaire with yes or no question where yes indicates the presence of nausea or vomiting and no indicating the absence of nausea or vomiting. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Surgeon satisfaction | 36 hours postoperatively | Assess surgeon satisfaction with anesthesia using a questionnaire named the Surgeon Satisfaction with Anesthesia Services Scales. The questionnaire uses a scale: 1-strongly disagree, 2- disagree, 3- agree, 4- strongly agree |
| Patient satisfaction | 36 hours postoperatively | Assess patient satisfaction with anesthesia using the Iowa Satisfaction Anesthesia scale which measures patient satisfaction through a scale: strongly disagree, disagree, undecided, agree and strongly agree |
Countries
Lebanon