Postoperative Nausea and Vomiting
Conditions
Keywords
nausea, vomiting, postoperative, dose adjustment
Brief summary
The aim is to evaluate the effectiveness of different regimens of prophylactic Ondansetron, Dexamethasone, or both, on the incidence and severity of post-operative nausea and vomiting.
Detailed description
Patients will be randomized to one of four arms: Ondansetron (4O-PE: 4 mg Ondansetron pre-emergence, 8O-PE: 8 mg Ondansetron pre-emergence, 4O-PI: 4 mg Ondansetron pre-incision, 8O-PI: 8 mg Ondansetron pre-incision), Dexamethasone (4D-PE: 4 mg Dexamethasone pre-emergence, 8D-PE: 8 mg Dexamethasone pre-emergence, or 4D-PI: 4 mg Dexamethasone pre-incision, or 8D-PI: 8 mg Dexamethasone pre-incision), Combination Therapy group (4O-PI+8D-PI: 4 mg Ondansetron pre-incision + 8 mg Dexamethasone pre-incision, 4O-PI+8D-PE: 4 mg Ondansetron pre-incision + 8 mg Dexamethasone pre-emergence, 4 O-PE+8D-PI: 4 mg Ondansetron pre-emergence + 8 mg Dexamethasone pre-induction, 4 O-PE+8D-PE: 4 mg Ondansetron pre-emergence + 8 mg Dexamethasone pre-emergence), and Placebo group 2 ml Saline 0.9%. Primary outcome will be the incidence of PONV in the PACU prior to discharge.
Interventions
Prospective, Triple blinded, randomized, controlled trial
Sponsors
Study design
Eligibility
Inclusion criteria
* ASA grade I and II * Aged 18-70 years * Patients scheduled for elective surgery under general anesthesia
Exclusion criteria
* All patients who received antiemetics or cortisone within 48 hr before surgery * Pregnant, breast feeding ladies * Any patient with BMI (Body Mass Index) \> 34 kg/m² * Patient with gastrointestinal, hepatic, renal, mental or psychiatric illnesses were also excluded from the study protocol.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Presence of postoperative nausea and/or vomiting | 24 hours | Follow if the patient complained about postoperative nausea and/or vomiting in terms of use of antiemetic drugs |
Countries
Jordan