Magnesium Sulfate; Postoperative Nausea and Vomiting; Laparoscopic Surgery

NCT ID: NCT03541915

Last Updated: 2018-10-01

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

90 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-12-01

Study Completion Date

2019-05-30

Brief Summary

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Postoperative nausea and vomiting (PONV) is commonly accompanied in patients undergoing surgery under general anesthesia. The patients undergoing laparoscopic gynecologic surgery have multiple risk factors for developing PONV such as female gender, nonsmoker, postoperative opioids, and laparoscopic surgery. Thus, it is important to prevent PONV in these patients.

Detailed Description

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Magnesium is a N-methyl-D-aspartate (NMDA) antagonist that is known to be effective in reducing opioid consumption and controlling postoperative pain. This opioid reducing effect can be associated with reduction of the incidence of PONV. However, the effect of magnesium on preventing PONV have not been investigated before. Thus, the investigators hypothesized that intraoperative infusion of magnesium will be effective in preventing PONV in patients undergoing laparoscopic gynecologic surgery.

Conditions

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Gynecologic 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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Mg group

20mg/kg of magnesium sulfate will be infused after induction of anesthesia. And magnesium sulfated will be continuously infused at a rate of 15mg/kg/h during the operation.

Group Type EXPERIMENTAL

Mg (magnesium sulfate)

Intervention Type DRUG

20mg/kg of magnesium sulfate will be infused after induction of anesthesia. And magnesium sulfated will be continuously infused at a rate of 15mg/kg/h during the operation.

Control group

Same volume of normal saline will be infused after induction of anesthesia. And the same volume of normal saline will be continuously infused at a same rate of magnesium during the operation.

Group Type PLACEBO_COMPARATOR

Control (saline)

Intervention Type DRUG

The same volume of normal saline will be infused after induction of anesthesia and continuously infused at the same rate of magnesium.

Interventions

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Mg (magnesium sulfate)

20mg/kg of magnesium sulfate will be infused after induction of anesthesia. And magnesium sulfated will be continuously infused at a rate of 15mg/kg/h during the operation.

Intervention Type DRUG

Control (saline)

The same volume of normal saline will be infused after induction of anesthesia and continuously infused at the same rate of magnesium.

Intervention Type DRUG

Other Intervention Names

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Masi Normal saline

Eligibility Criteria

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Inclusion Criteria

* Gynecologic disease
* Female patients undergoing laparoscopic gynecologic surgery and receiving postoperative fentanyl based intravenous patient controlled analgesia (PCA), aged 20-65 years.

Exclusion Criteria

* impaired renal or hepatic function (Glutamic Oxalacetate Transaminase \[GOT\]/Glutamic Pyruvate Transaminase \[GPT\]\>50, estimated glomerular filtration rate \[eGFR\]\<60)
* atrioventricular block, myopathies, diabetes, treated with calcium channel blockers
* History of receiving antiemetics within 1 day before surgery
* History of receiving opioids or non-steroidal anti-inflammatory drugs within 1 week of surgery
* drugs or alcohol abuse
* patients treated with isoniazid, chlorpromazine, or digoxin
* patients who cannot communicated with others or with cognitive dysfunction
* patients who cannot read informed consent
Minimum Eligible Age

20 Years

Maximum Eligible Age

65 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Gangnam Severance Hospital

OTHER

Sponsor Role lead

Responsible Party

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Do-Hyeong Kim

Department of Anesthesiology and Pain Medicine, Assistant Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Other Identifiers

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3-2018-0066

Identifier Type: -

Identifier Source: org_study_id

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