Does First Oral Intake After Emergence Predict the Incidence of Post-operative Vomiting in Children?
Status: | Completed |
---|---|
Conditions: | Hospital |
Therapuetic Areas: | Other |
Healthy: | No |
Age Range: | 2 - 18 |
Updated: | 5/5/2014 |
Start Date: | October 2012 |
End Date: | June 2014 |
Contact: | Jamie R Wingate, MD |
Email: | jamierwingate@gmail.com |
Phone: | 419-236-7480 |
Randomized Controlled Trial: Does First Oral Intake After Emergence From Anesthesia Predict the Incidence of Post-operative Vomiting in Children?
Second only to pain, nausea and vomiting are the most uncomfortable complications of surgery
and anesthesia. Unfortunately, our best defense against post-operative nausea and vomiting,
a medicine called ondansetron (Zofran), is in dire national shortage. Consequently,
non-pharmacological methods of prevention and treatment for post-operative nausea and
vomiting have increased import. Following emergence from general anesthesia, children often
request food and drink. There have been no studies to date that definitively determine the
optimal first food or drink choice for these children. This study proposes to randomize
children to either water or juice first intake following surgery. The investigators expect
to find that children who consume glucose are less likely to vomit than those who first
receive water.
and anesthesia. Unfortunately, our best defense against post-operative nausea and vomiting,
a medicine called ondansetron (Zofran), is in dire national shortage. Consequently,
non-pharmacological methods of prevention and treatment for post-operative nausea and
vomiting have increased import. Following emergence from general anesthesia, children often
request food and drink. There have been no studies to date that definitively determine the
optimal first food or drink choice for these children. This study proposes to randomize
children to either water or juice first intake following surgery. The investigators expect
to find that children who consume glucose are less likely to vomit than those who first
receive water.
Inclusion Criteria:
- Dental surgery
- Tonsillectomy and adenoidectomy
- Strabismus surgery
- Age 2-18
Exclusion Criteria:
- Patient refusal
- Parent refusal
- Allergy / contraindication to ondansetron
- Prone to vomiting
- Inpatient
- Preoperative anxiolysis with ketamine
- Recovery location other than PACU
- Nil per os at baseline
- Presence of enteric tube
- Contraindication to any part of the study protocol
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