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Phase 4 N=98 Randomized Double-blind Treatment

Antiemetic Prophylaxis for Postdischarge Nausea and Vomiting After Hip Arthroscopy

Nausea and Vomiting, Postoperative

Enrolled (actual)
98
Serious AEs
0.0%
Results posted
Aug 2012
Primary outcome: Primary: Incidence of Nausea — 46; 54 percentage of participants

Study Design & Population

Study type
Interventional
Phase
Phase 4
Interventions
Ondansetron (Drug); Placebo (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Hospital for Special Surgery, New York
Primary completion
Jan 2010

Outcome Measures

OutcomeResultp-value
PRIMARY
Incidence of Nausea
46; 54
SECONDARY
Severity of Nausea
23; 32
SECONDARY
Impact of Nausea and Vomiting on Quality of Life
18; 30

Summary

The study is a randomized placebo controlled trial to determine whether repeated postoperative prophylactic ondansetron ("Zofran") administration will prevent postoperative and/or postdischarge nausea and vomiting in patients undergoing ambulatory hip arthroscopy. Ondansetron will be administered in the intra- and post-operative period. These individuals will be followed on postoperative days 1, 2, and 3. It is hypothesized that the incidence of postdischarge nausea and vomiting (PDNV) will be significantly decreased by postoperative prophylactic administration of multiple doses of ondansetron (Zofran).

Eligibility Criteria

Inclusion Criteria

  • All patients of Dr. Coleman or Dr. Kelly ages 18 to 65 undergoing arthroscopic hip surgery
  • Planned use of neuraxial anesthesia
  • Ability to follow study protocol
  • Willing to complete daily diary and be interviewed daily for three days after discharge

Exclusion Criteria

  • Patients younger than 18 years old and older than 65
  • Patients unable to undergo a spinal or epidural anesthetic
  • Having nausea or vomiting within 24 hours of the surgery
  • Receiving drugs with anti-emetic properties within 24 hours of the surgery (e.g Zofran, Compazine, Phenergan, Reglan)
  • Chronic opioid use (defined as daily or almost daily use of opioids for >3 months)
  • Hypersensitivity and/or allergy to ondansetron
  • Intraoperative use of any volatile anesthetic
  • Contraindication to a short course of NSAIDs (renal failure, intolerance)
  • Allergy or intolerance to Vicodin
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00878228). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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