Postoperative Nausea, Postoperative Pain
Conditions
Brief summary
Patient due for elective, ambulatory gynaecological laparoscopy will be screened peri-operatively for known and potential risk factors of postoperative pain and nausea/vomiting. The actual incidence and severity of pain and nausea/vomiting will be recorded during th 0-24 hr intervall after end of surgery, as well as the doses of all drugs, given for either prophylaxis or treatment
Interventions
Patient will be interviewed pre-operatively and at 24 hrs post-opartively
Sponsors
Study design
Eligibility
Inclusion criteria
* Elective adult patients due for planned ambulatory gynaecological laparoscopy * Must be able to speak and write in Norwegian language
Exclusion criteria
* Patients who, for some reason, is transferred to non-ambulatory (same day discharge) care. * Patients who, for some reason, have a change in surgical procedure from laparoscopy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| postoperative pain | 0-24 hours | Numerical Ratings Score (NRS) Scale 0-10, 10 is worst |
| postoperative nausea | 0-24 hours | yes/no, Numerical Rating Score (NRS), Scale 0-10, 10 is worst |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Post-op fatigue | 0-24 hrs | Christensen score, 0-10, 10 is maximal fatigue |
| Post-op function | 0-24hr | Everyday function |
| Peri-operative nausea risk score | preop, 0-24 hours post-operatively | Apfel score, 0-4 (4 is maximal risk).Based on a number of registrations, such as: smoking status, postoperative opioid effects, smoking status, travel sickness, previous nause or vomiting after surgery/anaesthesia |
| Post-op anti-emetic drug consumption | 0-24hr | type and dose of ante-emetic medication |
| Post-op analgesia consumption | 0-24hr | number of opioid equivalents consumed |
| Peri-operative pain risk score | preop, 0-24 hours | Based on a number of registrations, such as: age, sosio-economic status, pre-op pain, pre-op use of opioids, pre-op anxiety or depression, pre-op catastrophizing, pre-op expectations, type of surgery, type of anaesthesia, lenght/ivasive ness of surgery, peri-op drug consumtion |
Countries
Norway