PONV in Laparoscopic Cholocystectomies
Conditions
Brief summary
This study will investigate the impact of dimenydrinate (H1-receptor antagonist) versus ondansetron (HT3-receptor antagonist) in postoperative nausea and vomiting, in surgery-related preoperative stress and in the incidence of postoperative complications that could lengthen the LOS in PACU and/or the overall LOS.
Detailed description
Dimenydrinate has been extensively used for motion sickness. However, as far as postoperative nausea and vomiting is concerned the results are still conflicting. This study will investigate the impact of dimenydrinate (H1-receptor antagonist) versus ondansetron (HT3-receptor antagonist) in postoperative nausea and vomiting, in surgery-related preoperative stress and in the incidence of postoperative complications that could lengthen the LOS in PACU and/or the overall LOS.
Interventions
2 hours preoperative per os administration of 50 mg dimenhydrinate
Intraoperative intravenous administration of 4 mg ondansetron
Sponsors
Study design
Eligibility
Inclusion criteria
* Age 18-75 years old * ASA PS I-III * Undergoing laparoscopic general surgery operations or laparoscopic gynecological operations
Exclusion criteria
* Refused to participate * Age other than 18-75 years old * Pregnant patients * Non-elective operations * Patients that are not able to receive p.os agents * Medical history of Brugada Sdr or Brugada-like/related ECG abnormalities * Long-Qt Sdr or concurrent use of medications that may cause long-QT ECG abnormalities * Medical or family history of psychosis * Allergy in dimenydrinate or in dimenydrinate drug versions * Perioperative use of dexamethasone
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| PONV | 30 minutes postoperative | PONV recording in patients undergone laparoscopic cholocystectomy |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| preoperative anxiety | 24 hours before operation | preoperative anxiety recording in patients undergone laparoscopic cholocystectomy measured by one hundred points scale |
| Awaken time | on extubation | time from anesthetic drug cessation until extubation |
Countries
Greece