Cataract
Conditions
Brief summary
The investigators hypothesized that the combination of Valium, Tramadol and Zofran is superior to the substantially more expensive MKO melt in patient satisfaction after cataract surgery.
Detailed description
The MKO melt is being marketed as an anesthetic medication for cataract surgery that has the advantage that it eliminates the need for an IV in 85% of patients although that number was established anecdotally. This alternative, however, is very cost limiting.The investigators wanted to see if the current regimen (valium only) or a combination similar to the MKO melt (valium + tramadol + zofran) are as good if not better than the MKO melt for anesthesia and how many patients could have indeed gone with an intravenous line (didn't need any extra medications).
Interventions
DRUGDiazepam
5 or 10mg
DRUGTramadol
50mg or 100mg
DRUGOndansetron
1 or two tabs
DRUGMKO melt
1 or 2 MKO melts
Sponsors
Avanti Anesthesia
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Caregiver)
Masking description
The surgeon was not aware which medication the patient received
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* All patients scheduled to undergo cataract surgery with Drs. Mayo and Wade at Kirby Glen Surgery Center
Exclusion criteria
* Age \<18 years * Patient is not suitable for the medications for reasons such as unsteady gait, cane, wheelchair, severe dementia (unable to consent), terminal illness * Allergy to a medication in protocol
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of patient who needed additional IV medication for cataract surgery | 1 day | Patients who require IV medications for self-reported pain or anxiety during surgery. |
Countries
United States
Outcome results
None listed