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Post Operative PainNCT05961722

Preoperative Intravenous Fluid Type and Postoperative Nausea

An observational study of Post Operative Pain and Nausea and Vomiting, Postoperative, run by Ankara Etlik City Hospital at 1 site in Turkey (Türkiye).

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

In this study, it was aimed to investigate the relationship between postoperative nausea and vomiting, anxiety levels and pain scores in the postoperative period according to dosing and choosing of intravenous fluid type that the patients received in the preoperative period. Read more about this study

Who is it for?
Ages 18 to 80 years
What is being tested?
preoperative IV 0.9% saline 400 ml, preoperative dextrose 5% 400 ml and preoperative and intraoperative dextrose 5% 400 ml
Type of treatment
Injection or infusion
How many people
90 participants
Where
1 siteTurkey (Türkiye)
Study dates
1 Oct 2023to 5 Aug 2024
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: 90 ASA I-II patients who will undergo laparoscopic cholecystectomy surgery will be included in the study and will be divided into three equal groups.

Who may be able to join

  • Patients who underwent laparoscopic cholecystectomy
  • Patients over the age of 18

Who cannot join

  • Patients who do not accept the study
  • Diabetes Mellitus

Trial locations and contacts

1 site in 1 country.

Turkey (Türkiye)1 site
  • Ankara Etlik City Hospital

    Ankara, Varlık Mahallesi, Halil Sezai Erkut Caddesi Yenimahalle, 06170

Other trials in Turkey (Türkiye)

About this study

Official title: The Effect of Choosing of Preoperative Intravenous Fluid Type on the Postoperative Nausea, Vomiting, Anxiety and Pain After Laparoscopic Cholecystectomy

In this study, it was aimed to investigate the relationship between postoperative nausea and vomiting, anxiety levels and pain scores in the postoperative period according to dosing and choosing of intravenous fluid type that the patients received in the preoperative period.

Read the detailed description

Fluid management is an integral and important part of perioperative treatment. In order to prevent organ damage, a key components of assuring adequate organ perfusion is to provide adequate volume and appropriate fluid. Types of the fluids, amount of the fluid given and timing of the administration are the main topics that determine the fluid management strategy. Colloids (e.g. albumin or fresh frozen plasma (FFP)) and crystalloids (e.g. ringer lactate, isotonic, 5% dextrose) are types of intravenous fluids that are used for fluid replacement apart from blood transfusion . Crystalloids are low-cost salt solutions with small molecules, which can move around easily when injected into the body.

There are studies reporting that fluid therapy applied in the preoperative period reduces gastric acid secretion and reduces stomach movements and nausea and vomiting. In addition, there are studies reporting that fluids given in the preoperative period have a positive effect on anxiety levels by reducing the feeling of hunger and thirst in patients. There are studies reporting that fluid therapy reduces ATP destruction and oxidative stress, which contributes to the reduction of pain levels.

90 ASA I-II patients who will undergo laparoscopic cholecystectomy surgery will be included in the study and will be divided into three equal groups. Patients in Group 1 were administered 400 ml 0.9% saline infusion within 30 minutes, 2 hours before surgery. Patients in Group 2 were infused with 400 ml 5% Dextrose at the same infusion rate. In groups 1 and 2, 10 ml/kg/h 0.9% saline infusion was applied during the intraoperative period. Patients in Group 3 were administered 200 ml dextrose infusion in the preoperative period and 200 ml dextrose infusion in the intraoperative period. 0.9% saline infusion was applied so that the total intraoperative fluid volume was the same as in the other groups.

Postoperative nausea and vomiting (PONV) , within 24 hours was compared between groups by PONV score. Other outcomes were the antiemetic drugs needed, The NRS Score, The State-Trait Anxiety Inventory , additional analgesic drug requirement.

In this study, it was aimed to investigate the relationship between postoperative nausea and vomiting, anxiety levels and pain scores in the postoperative period according to dosing and choosing of intravenous fluid type that the patients received in the preoperative period.

Being tested
preoperative IV 0.9% saline 400 ml, preoperative dextrose 5% 400 ml, preoperative and intraoperative dextrose 5% 400 ml
Keywords
preoperative intravenous fluid type, laparoscopic cholecystectomy
Medical subject headings
Pain, Postoperative, Postoperative Nausea and Vomiting, Anxiety Disorders

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • preoperative IV 0.9% saline 400 mlOther

    Group 1 will be infused with IV 0.9% saline 400 mL.

  • preoperative dextrose 5% 400 mlOther

    Group 2 will be infused with dextrose 5% Dekstroz 400 ml.

  • preoperative and intraoperative dextrose 5% 400 mlOther

    Group 3 will be infused with dextrose preoperative 200 ml and intraoperative 200 ml 5% dextrose infusion.

Study groups in NCT05961722
Study groupRoleWhat they receive
Group 1Group receiving preoperative and intraoperative saline infusion.
Receives: Other: preoperative IV 0.9% saline 400 ml
Group 2The group receiving preoperative dextrose and intraoperative saline infusion.
Receives: Other: preoperative dextrose 5% 400 ml
Group 3The group receiving preoperative and intraoperative dextrose infusion.
Receives: Other: preoperative and intraoperative dextrose 5% 400 ml

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. PONV Score

    Postoperative nausea and vomitting recording in patients undergone laparoscopic cholocystectomy.

    • 0=no PONV: patient reports no nausea and has had no emesis episodes;
    • 1=mild PONV: patient reports nausea but declines antiemetic treatment;
    • 2=moderate PONV: patient reports nausea and accepts antiemetic treatment; and
    • 3=severe PONV: nausea with any emesis episode (retching or vomiting). Higher scores indicate severe postoperative nausea and vomitting.

    Measured: 0 hours postoperatively

  2. PONV Score

    Postoperative nausea and vomitting recording in patients undergone laparoscopic cholocystectomy.

    • 0=no PONV: patient reports no nausea and has had no emesis episodes;
    • 1=mild PONV: patient reports nausea but declines antiemetic treatment;
    • 2=moderate PONV: patient reports nausea and accepts antiemetic treatment; and
    • 3=severe PONV: nausea with any emesis episode (retching or vomiting). Higher scores indicate severe postoperative nausea and vomitting.

    Measured: 2 hours postoperatively

  3. PONV Score

    Postoperative nausea and vomitting recording in patients undergone laparoscopic cholocystectomy.

    • 0=no PONV: patient reports no nausea and has had no emesis episodes;
    • 1=mild PONV: patient reports nausea but declines antiemetic treatment;
    • 2=moderate PONV: patient reports nausea and accepts antiemetic treatment; and
    • 3=severe PONV: nausea with any emesis episode (retching or vomiting). Higher scores indicate severe postoperative nausea and vomitting.

    Measured: 4 hours postoperatively

  4. PONV Score

    Postoperative nausea and vomitting recording in patients undergone laparoscopic cholocystectomy.

    • 0=no PONV: patient reports no nausea and has had no emesis episodes;
    • 1=mild PONV: patient reports nausea but declines antiemetic treatment;
    • 2=moderate PONV: patient reports nausea and accepts antiemetic treatment; and
    • 3=severe PONV: nausea with any emesis episode (retching or vomiting). Higher scores indicate severe postoperative nausea and vomitting.

    Measured: 8 hours postoperatively

  5. PONV Score

    Postoperative nausea and vomitting recording in patients undergone laparoscopic cholocystectomy.

    • 0=no PONV: patient reports no nausea and has had no emesis episodes;
    • 1=mild PONV: patient reports nausea but declines antiemetic treatment;
    • 2=moderate PONV: patient reports nausea and accepts antiemetic treatment; and
    • 3=severe PONV: nausea with any emesis episode (retching or vomiting). Higher scores indicate severe postoperative nausea and vomitting.

    Measured: 12 hours postoperatively

  6. PONV Score

    Postoperative nausea and vomitting recording in patients undergone laparoscopic cholocystectomy.

    • 0=no PONV: patient reports no nausea and has had no emesis episodes;
    • 1=mild PONV: patient reports nausea but declines antiemetic treatment;
    • 2=moderate PONV: patient reports nausea and accepts antiemetic treatment; and
    • 3=severe PONV: nausea with any emesis episode (retching or vomiting). Higher scores indicate severe postoperative nausea and vomitting.

    Measured: 24 hours postoperatively

Secondary outcomes (8)
  1. Pain on the Numeric Rating Scale (NRS)

    Participants recorded pain rated on the numeric rating scale (NRS) at 6 time points. NRS range was from 0-10 with 0 being no pain and 10 the worst pain possible.

    Measured: 0 hours postoperatively

  2. Pain on the Numeric Rating Scale (NRS)

    Participants recorded pain rated on the numeric rating scale (NRS) at 6 time points. NRS range was from 0-10 with 0 being no pain and 10 the worst pain possible.

    Measured: 2 hours postoperatively

  3. Pain on the Numeric Rating Scale (NRS)

    Participants recorded pain rated on the numeric rating scale (NRS) at 6 time points. NRS range was from 0-10 with 0 being no pain and 10 the worst pain possible.

    Measured: 4 hours postoperatively

  4. Pain on the Numeric Rating Scale (NRS)

    Participants recorded pain rated on the numeric rating scale (NRS) at 6 time points. NRS range was from 0-10 with 0 being no pain and 10 the worst pain possible.

    Measured: 8 hours postoperatively

  5. Pain on the Numeric Rating Scale (NRS)

    Participants recorded pain rated on the numeric rating scale (NRS) at 6 time points. NRS range was from 0-10 with 0 being no pain and 10 the worst pain possible.

    Measured: 12 hours postoperatively

  6. Pain on the Numeric Rating Scale (NRS)

    Participants recorded pain rated on the numeric rating scale (NRS) at 6 time points. NRS range was from 0-10 with 0 being no pain and 10 the worst pain possible.

    Measured: 24 hours postoperatively

  7. State-Trait Anxiety Inventory ( The STAI )

    The State-Trait Anxiety Inventory (STAI) is a commonly used measure of trait and state anxiety. It has 20 items for assessing trait anxiety and 20 for state anxiety. All items are rated on a 4-point scale (e.g., from "Almost Never" to "Almost Always"). Higher scores indicate greater anxiety.

    Measured: 2 hours before induction of anesthesia

  8. State-Trait Anxiety Inventory ( The STAI )

    The State-Trait Anxiety Inventory (STAI) is a commonly used measure of trait and state anxiety. It has 20 items for assessing trait anxiety and 20 for state anxiety. All items are rated on a 4-point scale (e.g., from "Almost Never" to "Almost Always"). Higher scores indicate greater anxiety.

    Measured: 0 hours postoperatively

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted27 Jul 2023
  2. Study start1 Oct 2023
  3. Primary completion1 Feb 2024
  4. Study completion5 Aug 2024

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Other
Time perspective
Prospective
Enrolment
90 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05961722
Sponsor's protocol ID
AnkaraEtlikYusufOzguner003
Status last verified
Sep 2024
First submitted
13 Jul 2023
Last updated
19 Sep 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Hoorn EJ. Intravenous fluids: balancing solutions. J Nephrol. 2017 Aug;30(4):485-492. doi: 10.1007/s40620-016-0363-9. Epub 2016 Nov 29.

    PubMed 27900717
  • Agarwal A, Dhiraaj S, Tandon M, Singh PK, Singh U, Pawar S. Evaluation of capsaicin ointment at the Korean hand acupressure point K-D2 for prevention of postoperative nausea and vomiting. Anaesthesia. 2005 Dec;60(12):1185-8. doi: 10.1111/j.1365-2044.2005.04402.x.

    PubMed 16288616
  • Hausel J, Nygren J, Lagerkranser M, Hellstrom PM, Hammarqvist F, Almstrom C, Lindh A, Thorell A, Ljungqvist O. A carbohydrate-rich drink reduces preoperative discomfort in elective surgery patients. Anesth Analg. 2001 Nov;93(5):1344-50. doi: 10.1097/00000539-200111000-00063.

    PubMed 11682427
  • Kristoffersen L, Malahleha M, Duze Z, Tegnander E, Kapongo N, Stoen R, Follestad T, Eik-Nes SH, Bergseng H. Randomised controlled trial showed that neonates received better pain relief from a higher dose of sucrose during venepuncture. Acta Paediatr. 2018 Dec;107(12):2071-2078. doi: 10.1111/apa.14567. Epub 2018 Oct 2.

    PubMed 30188590

Questions about this trial

What is this clinical trial studying?

An observational study of Post Operative Pain and Nausea and Vomiting, Postoperative, run by Ankara Etlik City Hospital at 1 site in Turkey (Türkiye).

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 2 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 19 Sep 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

PONV Score (time frame: 0 hours postoperatively). The study lists 6 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05961722, which also lists 4 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 19 Sep 2024.

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