Postoperative Nausea and Vomiting
Conditions
Brief summary
This study is a randomized, controlled, double-blinded, and parallel design study. A total 94 patients will be randomized to receive ketorolac or fentanyl based patient-controlled analgesia after microvascular decompression surgery.
Interventions
NSAID based patient-controlled analgesia will connected to intravenous line for pain control.
Opioid based patient-controlled analgesia will connected to intravenous line for pain control.
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients who undergo elective microvascular decompression surgery * American Society of Anesthesiologists grade 1 or 2 * 19 - 65 years old
Exclusion criteria
* Refuse to participate to the study * Refuse to use Patient-controlled analgesia * Body Mass Index \< 18.5 kg/m2 or \> 35 kg/m2 * history of craniotomy or chemotheraphy * Patients who used preoperative antiemetics within 24h before surgery * Severe renal or hepatic dysfunction * Pregnant
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative nausea and vomiting | postoperative 48 hours | Incidence |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative pain | Postoperative 30 minutes, 1 hours, 24 hours, 48 hours | pain intensity will be assessed using numeric rating scale (0=none, 10=worst pain possible) |
| Postoperative PCA consumption | Postoperative 30 minutes, 1 hours, 24 hours, 48 hours | — |
| Rescue antiemetics requirement | Postoperative 30 minutes, 1 hours, 24 hours, 48 hours | — |
| Postoperative nausea and vomiting | Postoperative 30 minutes, 1 hours, 24 hours, 48 hours | Severity accessed using numeric rating scale (0=none, 10=worst PONV possible) |
| Satisfaction score for postoperative nausea and vomiting | postoperative 48 hours | using 11-point scale (0=Worst dissatisfied, 10=Very satisfied) |
| Satisfaction score for postoperative pain | postoperative 48 hours | using 11-point scale (0=Worst dissatisfied, 10=Very satisfied) |
| Rescue analgesic requirement | Postoperative 30 minutes, 1 hours, 24 hours, 48 hours | — |
Countries
South Korea