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The goal of this clinical trial is to compare frequency with postoperative nausea and vomiting in ASA( American Society of Anesthesiologists) I, II patients undergoing laparoscopic surgery.
The main question[s] it aims to answer are:
Participants will receive aprepitant or granisetron for prevention of postoperative nausea and vomiting.
The aim of this study is to investigate the effectiveness of drugs used for postoperative nausea and vomiting in laparoscopic surgeries.
In the research; During the operation, the patient's vitals will be recorded intraoperative forms. Vitals are; heart rate, blood pressure, oxygen saturation, end tidal carbon dioxide levels; according to the pain level after awakening from the patient follow-up forms in the service.
The doses and times of analgesics will be screened, the frequencies of postoperative nausea, retching, vomiting, and additional antiemetic doses will be screened, respiratory depression, complications of anesthesia, arrhythmia, laryngospasm, hypo-hypertension, headache, dizziness, allergic reactions anxiety symptoms will be screened too.
we will try to emphasize which antiemetic is more effective than the other and which one has few side effects
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Aprepitant | Active Comparator | Substance P inhibitor chemotherapeutic and also useable for prevention of postoperative nausea and vomiting |
|
| Granisetron | Active Comparator | 5- HT3( 5-hydroksitriptamine 3) antagonist drug for prevention of postoperative nausea and vomiting |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Aprepitant | Drug | The drug is given 1 hour before the start of the surgery |
|
| Measure | Description | Time Frame |
|---|---|---|
| incidence of nausea | the incidence of nausea between 0-6 and 6-24 hours postoperatively | postoperative 24 hours |
| the need for additional antiemetics | the need for additional antiemetics between 0-6 and 6-24 hours postoperatively | postoperative 24 hours |
| incidence of vomiting | the incidence of vomiting between 0-6 and 6-24 hours postoperatively | postoperative 24 hours |
| Measure | Description | Time Frame |
|---|---|---|
| additional analgesic need | Detection of additional analgesic needs between 0-6 and 6-24 hours postoperatively. | postoperative 24 hours |
| detection of complications | detection of complications between 0-6 and 6-24 hours postoperatively. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Begüm Ne Gökdemir, MD | Contact | +905389598290 | begokdemir@gmail.com | |
| Nedim Çekmen, Professor | Contact | +905307384682 | nedimcekmen@yahoo.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Baskent University Ankara Hospital | Ankara | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D020250 | Postoperative Nausea and Vomiting |
| D014839 | Vomiting |
| ID | Term |
|---|---|
| D011183 | Postoperative Complications |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D009325 | Nausea |
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| ID | Term |
|---|---|
| D000077608 | Aprepitant |
| D017829 | Granisetron |
| ID | Term |
|---|---|
| D009025 | Morpholines |
| D010078 | Oxazines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
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group 1:patient who receive aprepitant group 2: patient who receive granisetron
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| Granisetron | Drug | The drug is given 10 minutes before the patients's extubation |
|
|
| postoperative 24 hours |
| D012817 | Signs and Symptoms, Digestive |
| D012816 | Signs and Symptoms |
| D053961 |
| Azabicyclo Compounds |
| D001372 | Aza Compounds |
| D009930 | Organic Chemicals |
| D007191 | Indazoles |
| D011720 | Pyrazoles |
| D001393 | Azoles |
| D019086 | Bridged Bicyclo Compounds, Heterocyclic |
| D006572 | Heterocyclic Compounds, Bridged-Ring |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |