Optimal Haloperidol Dose for Postoperative Nausea and Vomiting Prevention in High-risk Patients

NCT ID: NCT01639599

Last Updated: 2020-09-09

Study Results

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

150 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-03-31

Study Completion Date

2013-05-31

Brief Summary

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Low-dose haloperidol is known to be effective for the treatment of postoperative nausea and vomiting (PONV). However, precise dose-response studies have not been completed, especially in patients at high risk for PONV who require combination therapy. This study sought to identify the optimal dose of haloperidol that could be combined with dexamethasone without adverse effects in high-risk PONV patients receiving intravenous patient-controlled anesthesia (IV PCA) after gynecological laparoscopic surgery.

Detailed Description

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Female adults with three established PONV risk factors based on Apfel's score were randomised into one of three study groups. At the end of anaesthesia, groups H0, H1, and H2 were given intravenous (IV) saline, haloperidol 1 mg, and haloperidol 2 mg, respectively. All patients were given dexamethasone during the induction of anaesthesia. The overall early (0-2 h) and late (2-24 h) incidences of nausea, vomiting, rescue anti-emetic administration, pain, and adverse effects (cardiac arrhythmias and extrapyramidal effects) were assessed postoperatively. The sedation score was recorded in the postanaesthesia care unit (PACU).

Conditions

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Gynecological Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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dexamethasone

dexamethasone 5mg iv during anesthesia induction

Group Type PLACEBO_COMPARATOR

Dexamethasone iv injection

Intervention Type DRUG

Dexamethasone 5mg iv during anesthesia induction

dexamethasone, haloperiol 1mg

dexamethasone 5mg iv during anesthesia induction \& haloperidol 1mg iv 30 min before end of anesthesia

Group Type ACTIVE_COMPARATOR

Dexamethasone, haloperidol

Intervention Type DRUG

dexamethasone + haloperidol 1mg

dexamethasone + haloperidol 2mg

dexamethasone 5mg iv during anesthesia induction \& haloperidol 2mg iv 30 min before end of anesthesia

Group Type ACTIVE_COMPARATOR

Dexamethasone, haloperidol

Intervention Type DRUG

Active Comparator: dexamethasone + haloperidol 2mg

Interventions

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Dexamethasone iv injection

Dexamethasone 5mg iv during anesthesia induction

Intervention Type DRUG

Dexamethasone, haloperidol

dexamethasone + haloperidol 1mg

Intervention Type DRUG

Dexamethasone, haloperidol

Active Comparator: dexamethasone + haloperidol 2mg

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* ASA physical status I or II women
* Aged 20 65 years, and scheduled for gynecologic laparoscopic surgery and IV patient-controlled analgesia (PCA) for postoperative pain control.

Exclusion Criteria

* Known allergy or intolerance to the study drug
* History of cardiac arrhythmia
* Psychiatric illness
* Chronic treatment with a dopamine antagonist
* Use of opioids or steroids within one week of surgery
* Use of antiemetic within 24 hours before the study
* No ability to use the PCA device
* Gastrointestinal, renal, or hepatic disease
* Insulin-dependent diabetes or obesity with a body mass index \> 35 kg/m2.
Minimum Eligible Age

20 Years

Maximum Eligible Age

65 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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The Catholic University of Korea

OTHER

Sponsor Role lead

Responsible Party

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Young Eun Moon

clinical associate professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Y.E. Moon, MD

Role: PRINCIPAL_INVESTIGATOR

associate proffesor

References

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Joo J, Park YG, Baek J, Moon YE. Haloperidol dose combined with dexamethasone for PONV prophylaxis in high-risk patients undergoing gynecological laparoscopic surgery: a prospective, randomized, double-blind, dose-response and placebo-controlled study. BMC Anesthesiol. 2015 Jul 8;15:99. doi: 10.1186/s12871-015-0081-1.

Reference Type DERIVED
PMID: 26152218 (View on PubMed)

Other Identifiers

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haloperidol

Identifier Type: -

Identifier Source: org_study_id

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