Prophylaxis of Postoperative Nausea and Vomiting After Cardiac Surgery

NCT ID: NCT02744495

Last Updated: 2016-12-14

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

502 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-02-29

Study Completion Date

2016-12-31

Brief Summary

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To investigate the role of postoperative nausea and vomiting risk factors assessment after cardiac surgery. We designed a randomized controlled study comparing standard care (no risk factor assessment and no intervention) with prophylaxis of postoperative nausea and vomiting after cardiac surgery in high risk patients. Prophylaxis of postoperative nausea and vomiting by betamethasone (4mg) and/or droperidol (0.625mg) immediately after cardiac surgery, depending on risk factors (if risk score is over 2) in the intervention arm.

Detailed Description

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Patients planned to undergo cardiac surgery were screened for inclusion. Inclusion criteria are as follow: Non emergent cardiac surgery; Age \> 18 years; Affiliation to French Social Security; Approval of participation to the study; at the exclusion of: Pregnancy ; Contra indication to antiemetics; Chronic usage of antiemetics; and Emergent or complicated surgery.

Risk factors for postoperative nausea and vomiting were collected and patients were randomized by cluster into two arms.

Control: No prophylaxis whatever risk score is. Postoperative nausea and vomiting risk factors were not available for practicians.

Intervention: Preoperative collection of postoperative nausea and vomiting risk factors available for practicians. Prophylaxis if risk score is over 2. Prophylaxis of postoperative nausea and vomiting by betamethasone (4mg) and/or droperidol (0.625mg) immediately after cardiac surgery, depending on risk factors in the intervention arm.

All outcomes are assessed at 48 hours of surgery:

Primary: occurrence of postoperative nausea or vomiting Secondary: number of postoperative nausea and vomiting with visual assessment scale (VAS), and antiemetics used for treatment; postoperative pain (VAS) with number of analgesics used; postoperative discomfort (VAS).

Safety data: side effects and QT corrected intervals.

Conditions

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Postoperative Vomiting Postoperative Nausea Postoperative Emesis

Keywords

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cardiac surgery corticoids droperidol antiemetics Postoperative Vomiting Postoperative Nausea Postoperative Emesis prophylaxis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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postoperative nausea and vomiting risk factors

Preoperative collection of postoperative nausea and vomiting risk factors available for practicians.

Group Type EXPERIMENTAL

Betamethasone

Intervention Type DRUG

Prophylaxis if risk score is over 2. Prophylaxis of postoperative nausea and vomiting by betamethasone / Celestene (4mg) and/or droperidol / Droleptan (0.625mg) immediately after cardiac surgery, depending on risk factors in the intervention arm.

Droperidol

Intervention Type DRUG

Prophylaxis if risk score is over 2. Prophylaxis of postoperative nausea and vomiting by betamethasone / Celestene (4mg) and/or droperidol / Droleptan (0.625mg) immediately after cardiac surgery, depending on risk factors in the intervention arm.

control

No prophylaxis whatever risk score is. Postoperative nausea and vomiting risk factors not available for practicians.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Betamethasone

Prophylaxis if risk score is over 2. Prophylaxis of postoperative nausea and vomiting by betamethasone / Celestene (4mg) and/or droperidol / Droleptan (0.625mg) immediately after cardiac surgery, depending on risk factors in the intervention arm.

Intervention Type DRUG

Droperidol

Prophylaxis if risk score is over 2. Prophylaxis of postoperative nausea and vomiting by betamethasone / Celestene (4mg) and/or droperidol / Droleptan (0.625mg) immediately after cardiac surgery, depending on risk factors in the intervention arm.

Intervention Type DRUG

Other Intervention Names

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Celestene Droleptan

Eligibility Criteria

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Inclusion Criteria

* Non emergent cardiac surgery
* Age \> 18 years
* Affiliation to French Social Security
* Approval of participation to the study

Exclusion Criteria

* Pregnancy
* Contra indication to antiemetics
* Chronic usage of antiemetics
* Emergent or complicated surgery
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hôpital Privé de Parly II - Le Chesnay

OTHER

Sponsor Role lead

Responsible Party

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Sébastien CHAMPION

Dr

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Parly2

Le Chesnay, , France

Site Status

Countries

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France

Other Identifiers

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2015-A01440-49

Identifier Type: -

Identifier Source: org_study_id