Perioperative medicine & outcomes

Preoperative versus intraoperative antiemetic strategies in patients undergoing laparoscopic cholecystectomy: A randomised double-blind study

Eur J AnaesthesiolPublished Randomised controlled trial

Authors' conclusion

Under the current study design, we found no difference in the incidence of PONV between the administration of ondansetron 1 h before induction of anaesthesia and the intraoperative administration of ondansetron 30 min before the end of surgery.

Study context

Population
Patients undergoing elective laparoscopic cholecystectomy, Aretaieio University Hospital, Greece
Participants
121 patients
Comparison
Ondansetron 4 mg 1 h before induction vs 30 min before end of surgery
Primary endpoint
Incidence of nausea and/or vomiting combined
Follow-up
Up to 24 h
Methodological detailssingle-centre, double-blind, Recruited November 2018 to April 2021; follow-up up to 24 h
  • Single-centre
  • Double-blind
  • Recruited November 2018 to April 2021; follow-up up to 24 h

Primary result

As reported in the abstract

Nausea and/or vomiting

P = 0.31

Further findings

Nausea, vomiting and retching combined · no difference

P = 0.30

Pain intensity at rest and with coughing (PACU, 4, 8 and 24 h)

No difference between groups at rest (P = 0.961, 0.929, 0.748, 0.883) or with coughing (P = 0.974, 0.220, 0.235, 0.317)

Original publication

Preoperative versus intraoperative antiemetic strategies in patients undergoing laparoscopic cholecystectomy: A randomised double-blind study. Eur J Anaesthesiol. Published 19 July 2023. doi:10.1097/eja.0000000000001888

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