Anaesthesia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1-Age: 21- 60 years 2- Patients with ASA classification I and II
Exclusion criteria
Exclusion criteria: 1. Declining to give written informed consent. 2. Patients with morbid obesity (BMI > 40). 3. ASA classification III-V. 4. Sever hypertension and heart failure. 5. Significant hepatic or renal disorder. 6. Patients with diagnosed diabetes mellitus type 1 or type 2. 7. Patients with history of PONV currently receiving steroids or antiemetics. 8. Pregnant or menstruating patients.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare the incidence of Post operative nausea and vomiting in the study treatment groups | — |
Secondary
| Measure | Time frame |
|---|---|
| Frequency of vomiting episodes; Measurement of PONV severity scores, Severity of PONV was assessed using a 4-point Verbal Descriptive Scale (VDS) which consists of: Score 0= no PONV: no complaint of nausea or vomiting; Score 1= mild PONV: patient complains from nausea but doesn’t need antiemetic treatment. Score 2= moderate PONV: patient complains from nausea and need antiemetic treatment; Score 3= severe PONV: patient complains from nausea with episode of vomiting requiring antiemetic treatment. PONV scores were obtained every half hour;Time from extubation till discharge from PACU;total antiemetic medication consumption Severity of PONV was assessed using a 4-point Verbal Descriptive Scale (VDS) which consists of: Score 0= no PONV: no complaint of nausea or vomiting; Score 1= mild PONV: patient complains from nausea but doesn’t need antiemetic treatment. Score 2= moderate PONV: patient complains from nausea and need antiemetic treatment; Score 3= severe PONV: patient complains from nausea with episode of vomiting requiring antiemetic treatment. PONV scores were obtained every half hour, Rescue antiemetic granisetron 1 mg IV was given when VDS scores were 2 or more. Medications were given only after excluding other causes of PONV such as hypovolemia, hypotension, hypoxia. The total number of doses of antiemetics used were obtained every half hour from the time of entry to the PACU for 4 hours | — |
Countries
Egypt
Contacts
Assistant professor Ain Shams University Faculty of Medicine