A 6 Months Double Blind Trial to Prevent PONV in Laparoscopic Cholecystectomy

NCT ID: NCT05529004

Last Updated: 2022-09-06

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

PHASE2

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-09-30

Study Completion Date

2023-04-30

Brief Summary

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As long as anesthesia is administered, postoperative nausea and vomiting (PONV) will continue to be a frequent and upsetting comorbidity. Vomiting and nausea can significantly slow down recovery, raise staffing and drug expenses, and decrease patient satisfaction during perioperative procedures.

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.

Detailed Description

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Pregabalin has been found to minimize the need for opioid as well as non-steroid anti-inflammatory medications and relieve pain with different type of surgery, along with consideration of a diverse mechanisms, preoperative oral pregabalin has been reported to have antiemetic effect postoperatively. postoperative laparoscopic cholecystectomy, are associated with nausea and Vomiting and it's a concern that dictates the need for antiemetic which gives intravenously; as the intravenous drugs with intravenous fluid is becoming more common, the use of oral pregabalin is frequently mentioned, on the other hand, the intravenous antiemetic medication has some side effect.

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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Postoperative Nausea and Vomiting

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Randomized Double Blind study.
Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors

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

Group Type EXPERIMENTAL

Oral Capsule pregapalin

Intervention Type DRUG

oral cap of pregapalin has been administration to patient before surgery to prvent PONV

laparoscope device

Intervention Type DEVICE

general anesthesia with complete relaxation under laparoscopic cholecystectomy

placebo

participants hasn't receive pregapalin capsule

Group Type NO_INTERVENTION

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

Intervention Type DRUG

laparoscope device

general anesthesia with complete relaxation under laparoscopic cholecystectomy

Intervention Type DEVICE

Other Intervention Names

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general anesthesia

Eligibility Criteria

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Inclusion Criteria

* Age ≥ 18 - \< 55 years.
* 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

* Age ≥ 55 years.
* 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.
Minimum Eligible Age

18 Years

Maximum Eligible Age

55 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Al Safwa University College

OTHER

Sponsor Role lead

Responsible Party

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Mohammed AbdulZahra Sasaa

Anesthetist

Responsibility Role PRINCIPAL_INVESTIGATOR

Central Contacts

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Mohammed abdulzahra sasaa, phd

Role: CONTACT

009647718991533 ext. AZ

Ahmed AN sahib, phd

Role: CONTACT

009647815759208

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.

Reference Type BACKGROUND
PMID: 15064261 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 8669567 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 32467512 (View on PubMed)

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.

Reference Type RESULT
PMID: 16846542 (View on PubMed)

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.

Reference Type RESULT
PMID: 7986507 (View on PubMed)

Metz A, Hebbard G. Nausea and vomiting in adults--a diagnostic approach. Aust Fam Physician. 2007 Sep;36(9):688-92.

Reference Type RESULT
PMID: 17885699 (View on PubMed)

Other Identifiers

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pregabalin and PONV

Identifier Type: -

Identifier Source: org_study_id

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