A 6 Months Double Blind Trial to Prevent PONV in Laparoscopic Cholecystectomy
NCT ID: NCT05529004
Last Updated: 2022-09-06
Study Results
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Basic Information
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UNKNOWN
PHASE2
100 participants
INTERVENTIONAL
2022-09-30
2023-04-30
Brief Summary
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Nausea it is a conscious recognition of subconscious excitation in area of medulla closely associated with or a part of the vomiting center, or it is sensation of discomfort at upper abdomen and unease sensation with involuntary order to vomit. While vomiting It is a mean by which the upper GIT rides of its contents when any part of upper GIT becomes irritated, over distended or over excitable.
The PONV is the most feared postoperative symptoms \& it may impaired dressing , surgical repairs \& increased ( bleeding , pain , risk of gastric contents aspiration ) \& if it is prolonged will leads to electrolytes , fluid imbalance \& dehydration ; the PONV can occurs after up to 90 % of operative procedures ; The common risk factors of PONV are : young age , female gender, history of ( PONV , motion sickness ) , those not smokers , early mobilization after surgery , early drinking \& eating after operations , procedures like (laparoscopic , gynecological , abdominal , ENT , squint ) , postoperative severe pain , narcotic premedication , possibly prolonged general anesthesia , gastric distention , stimulation of the pharynx , hypoxemia , hypotension , \& dehydration.
The PONV can reduced by: avoidance of triggers where possible, uses of anti-emetics drugs, techniques \& procedures associated with low incidence of PONV (e.g. propofol) \& give intravenous fluids; with prophylaxis the incidence is usually under 30% in high risk cases, the most effective approach for prevention of PONV is the use of multiple strategies \& different drugs.
The pregabalin (C8H17NO2), is a newer drug \& recently introduced at 1990. as anticonvulsive medication. We evaluated the effect of oral pregabalin on postoperative nausea and vomiting in laparoscopic cholecystectomy cases.
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Detailed Description
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Aim of the study:
To evaluate the effect of oral pregabalin on postoperative nausea and vomiting in laparoscopic cholecystectomy cases.
Design: Randomized Double Blind study.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
DOUBLE
Study Groups
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Preoperative pregabalin to prevent postoperative nausea & vomiting in laparoscopic surgery.
participants receive pregapalin 75mg cap orally 30 min before surgery
Oral Capsule pregapalin
oral cap of pregapalin has been administration to patient before surgery to prvent PONV
laparoscope device
general anesthesia with complete relaxation under laparoscopic cholecystectomy
placebo
participants hasn't receive pregapalin capsule
No interventions assigned to this group
Interventions
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Oral Capsule pregapalin
oral cap of pregapalin has been administration to patient before surgery to prvent PONV
laparoscope device
general anesthesia with complete relaxation under laparoscopic cholecystectomy
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* Both gender (male \& female).
* Patients ASA physical status1.
* Procedures with high risk of postoperative nausea \& vomiting.
* Elective operations under general anesthesia with laparoscopic cholecystectomy.
Exclusion Criteria
* Emergency operations,
* Patient refusal, allergy to pregabalin.
* Pregnant patients, patients taken preoperative anti-emetic medications.
* Patients with cardiac respiratory endocrine diseases.
* Total intravenous maintenance general anesthesia and thiopental as induction agent.
18 Years
55 Years
ALL
Yes
Sponsors
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Al Safwa University College
OTHER
Responsible Party
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Mohammed AbdulZahra Sasaa
Anesthetist
Central Contacts
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References
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Habib AS, Gan TJ. Evidence-based management of postoperative nausea and vomiting: a review. Can J Anaesth. 2004 Apr;51(4):326-41. doi: 10.1007/BF03018236.
Koivuranta MK, Laara E, Ryhanen PT. Antiemetic efficacy of prophylactic ondansetron in laparoscopic cholecystectomy. A randomised, double-blind, placebo-controlled trial. Anaesthesia. 1996 Jan;51(1):52-55. doi: 10.1111/j.1365-2044.1996.tb07654.x.
Gan TJ, Belani KG, Bergese S, Chung F, Diemunsch P, Habib AS, Jin Z, Kovac AL, Meyer TA, Urman RD, Apfel CC, Ayad S, Beagley L, Candiotti K, Englesakis M, Hedrick TL, Kranke P, Lee S, Lipman D, Minkowitz HS, Morton J, Philip BK. Fourth Consensus Guidelines for the Management of Postoperative Nausea and Vomiting. Anesth Analg. 2020 Aug;131(2):411-448. doi: 10.1213/ANE.0000000000004833.
Habib AS, Chen YT, Taguchi A, Hu XH, Gan TJ. Postoperative nausea and vomiting following inpatient surgeries in a teaching hospital: a retrospective database analysis. Curr Med Res Opin. 2006 Jun;22(6):1093-9. doi: 10.1185/030079906X104830.
Carroll NV, Miederhoff PA, Cox FM, Hirsch JD. Costs incurred by outpatient surgical centers in managing postoperative nausea and vomiting. J Clin Anesth. 1994 Sep-Oct;6(5):364-9. doi: 10.1016/s0952-8180(05)80004-2.
Metz A, Hebbard G. Nausea and vomiting in adults--a diagnostic approach. Aust Fam Physician. 2007 Sep;36(9):688-92.
Other Identifiers
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pregabalin and PONV
Identifier Type: -
Identifier Source: org_study_id
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