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Paracetamol vs Metoclopramide on Postoperative Nausea and Vomiting

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Aydin Adnan Menderes University

关键词

抽象

The drugs with both high potency and low side effects are preferred in the prevention of postoperative nausea and vomiting (PONV) which is a common problem. This prospective randomized study aimed to compare the efficacy of paracetamol and metoclopramide on PONV in adults undergoing maxillofacial surgery.

描述

One hundred-twenty patients are randomly divided into two groups; the paracetamol group who received the IV infusion of paracetamol (1.5 ml/kg); and the metoclopramide group who received the IV infusion of metoclopramide (0.2 mg/kg) in saline. The presence of vomiting and the actions indicative of nausea, such as repeated gagging or spitting, within 24h following general anesthesia are defined as PONV. All PONV episodes and postoperative pain scores are recorded during 24h postoperatively. The postoperative 0-4h and 4-24h are defined as early and late postoperative period, respectively. Intravenous 4 mg ondansetron as rescue antiemetic drug is administered in case of two or more vomiting episodes.

日期

最后验证: 06/30/2018
首次提交: 07/04/2018
提交的预估入学人数: 07/04/2018
首次发布: 07/16/2018
上次提交的更新: 07/04/2018
最近更新发布: 07/16/2018
实际学习开始日期: 07/19/2018
预计主要完成日期: 08/19/2018
预计完成日期: 08/20/2018

状况或疾病

Postoperative Nausea and Vomiting

干预/治疗

Drug: Perfalgan

Drug: Metoclopramide

相 4

手臂组

干预/治疗
Active Comparator: Perfalgan
1.5 mg/kg intravenous, intraoperative (20 min before end of the surgery)
Active Comparator: Metoclopramide
0.2 mg/kg intravenous, intraoperative (20 min before end of the surgery)

资格标准

有资格学习的年龄 18 Years 至 18 Years
有资格学习的性别All
接受健康志愿者
标准

Inclusion Criteria:

- ASA (the classification of the American Society of Anesthesiologists) physical status I-II

- Patients who scheduled for elective maxillofacial surgery under general anesthesia

Exclusion Criteria:

- Patients with a history of allergy to any of the study medications (opioid, general anesthetic agents or paracetamol)

- History of opioid use, hepatic or renal disease, coronary, psychotic and neurologic diseases

- Use of antiemetic, antihistaminic, analgesic or corticosteroid 24 hours (h) prior to surgery

结果

主要结果指标

1. Preventing of postoperative nausea and vomiting [First 24 hours postoperatively]

Preventing of postoperative nausea and vomiting in postoperative care unit

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