Postoperative Nausea and Vomiting
Conditions
Keywords
Postoperative Nausea and Vomiting, Ginger
Brief summary
This study evaluates the effectiveness of ginger on the incidence of postoperative nausea and vomiting in patients undergoing gynaecological surgery. Half the patients were given an oral dose of ginger preoperatively and half received placebo.
Detailed description
Postoperative nausea and vomiting (PONV) commonly complicate surgery and may lead to a prolonged length of stay in hospital, increased complication rates and decreased patient satisfaction. Gynaecological surgery is considered high risk for PONV. Ginger is a cheap, widely available and safe natural product in Jamaica and has been found to reduce the incidence of Nausea and vomiting in other clinical situations, such as in pregnancy. It is believed to act via the inhibition of serotonergic receptors.
Interventions
Capsules containing 0.5g ginger powder, flavoured with non-active essence of ginger
Two coloured capsules containing 0.5 mg of cornstarch and flavoured with non-active essence of ginger.
Sponsors
Study design
Masking description
Sequentially numbered, sealed, opaque envelopes prepared and opened the evening before the surgery. Tablets containing either placebo or ginger allocated by a person not involved in any other aspect of the study and administered on the morning of surgery.
Intervention model description
Quadruple, blind randomized, controlled trial
Eligibility
Inclusion criteria
* Age 18 or above * Undergoing elective intra-abdominal, gynaecological surgery
Exclusion criteria
* Allergy to ginger, ginger by-products or cornstarch * Gastroesophageal reflux disease (GERD) * Allergy to any of the Anaesthesia Agents * Inability to swallow capsules. * psychiatric illness which prevents patients giving informed consent. * Psychological which prevents patients giving informed consent.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of post operative nausea or vomiting | 12 hours after surgery | The proportion of patient who have any episodes of nausea or vomiting following surgery |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Severity of post operative Nausea and vomiting | 12 hours after surgery | Measured using the Rhodes index |
| Patient satisfaction | 48 hours post surgery | Measured using a questionnaire administered to patient by investigators |
Countries
Jamaica