Unique ID issued by UMIN | UMIN000017055 |
---|---|
Receipt number | R000019777 |
Scientific Title | The study to prevent and reduce postoperative nausea and vomiting due to continuous epidural administration |
Date of disclosure of the study information | 2015/04/06 |
Last modified on | 2015/04/06 14:39:25 |
The study to prevent and reduce postoperative nausea and vomiting due to continuous epidural administration
The effectiveness of epidural droperidol for prophylaxis of postoperative nausea and vomiting: a comparative study of droperidol and adrenaline
The study to prevent and reduce postoperative nausea and vomiting due to continuous epidural administration
The effectiveness of epidural droperidol for prophylaxis of postoperative nausea and vomiting: a comparative study of droperidol and adrenaline
Japan |
patients scheduled for abdominal gynecological surgery under general-epidural anesthesia
Anesthesiology |
Malignancy
NO
Intravenous droperidol has strong evidence for antiemetic efficacy of doroperidol in high risk patients for prevention of postoperative nausea and vomiting (PONV). However it is not clear whether continuous epidural administration of doroperidol prevent PONV. It has been reported that epidural epinephrine decrease PONV, therefore we prospectively compared the effectiveness of epidural droperidol or epinephrine for prophylaxis of PONV.
Efficacy
Exploratory
Pragmatic
Not applicable
the incidences of PONV, the use frequency of the antiemetics
the incidences of cancelling continuous epidural administration for vomiting, the use frequency of the adjuvant analgesic, the incidences of pruritus, the incidences of reduction in blood pressure
Interventional
Parallel
Randomized
Individual
Single blind -participants are blinded
Active
YES
NO
Institution is not considered as adjustment factor.
YES
Pseudo-randomization
2
Prevention
Medicine |
epidural administration of 0.2% ropivacaine 200ml, fentanyl 14ml and droperidol 2ml, 4ml/hr of administration rate, and 3ml of bolus injection, during about 50 hours.
epidural administration of 0.2% ropivacaine 200ml, fentanyl 14ml and epinephrine 0.5ml, 4ml/hr of administration rate, and 3ml of bolus injection, during about 50 hours.
18 | years-old | <= |
30 | years-old | > |
Female
patients scheduled for abdominal gynecological surgery under general-epidural anesthesia
age<18, >=80, ASA-PS<=3, BMI<=35, QT prolongation, Parkinson's disease, psychiatric history, drug abuser, steroid administration
84
1st name | |
Middle name | |
Last name | Shinya Toyonaga |
Saiseikai Narashino Hospital
Department of Aneasthesia
1-1-1, izumicho, narashino-ku, Chiba
047-473-1281
redhunter-2005-@hotmail.co.jp
1st name | |
Middle name | |
Last name | Shinya Toyonaga |
Saiseikai Narashino Hospital
Department of Aneasthesia
1-1-1, izumicho, narashino-ku, Chiba
047-473-1281
redhunter-2005-@hotmail.co.jp
Saiseikai Narashino Hospital
none
Self funding
NO
済生会習志野病院(千葉県)
2015 | Year | 04 | Month | 06 | Day |
Unpublished
The incidences rate of PONV were 27.9% (doropeidol group) and 58.1% (epinephrine group), respectively (P=0.0046, odds ratio 0.279, NNT 3.13). The use frequency of the antiemetics were 18.6% and 41.9%, respectively (P=0.0189, odds ratio 0.317, NNT 4.29). There was one patient who had to cancel continuous epidural administration for vomiting in epinephrine group, but no patient in doropeidol group.
Completed
2013 | Year | 11 | Month | 01 | Day |
2013 | Year | 11 | Month | 30 | Day |
2014 | Year | 07 | Month | 02 | Day |
2014 | Year | 09 | Month | 30 | Day |
2014 | Year | 10 | Month | 31 | Day |
2014 | Year | 11 | Month | 30 | Day |
2015 | Year | 04 | Month | 06 | Day |
2015 | Year | 04 | Month | 06 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000019777