This study aims to evaluate the possible efficacy of baclofen on postoperative nausea and vomiting in patient with morbid obesity who will undergo laparoscopic sleeve gastrectomy.
. A total of 100 morbidly obese patients who will be scheduled for sleeve gastrectomy will be included in the study. The patients will be selected from those attending Gastrointestinal and Laparoscopic Surgery Unit, General Surgery Department, Tanta University Hospital, Tanta, Egypt. The participants will be randomized into four groups by closed envelop method
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
DOUBLE
Enrollment
100
10 mg oral baclofen 1 h before anesthesia
Gastrointestinal and Laparoscopic Surgery Unit, General Surgery Department, Tanta University Hospital.
Tanta, Egypt
The primary outcome of this study will be the complete response
Complete response is defined as the absence of PONV and the lack of a need for rescue antiemetic therapy.
Time frame: The first 48 hours after surgery.
Change in serum level of vasopressin
Blood samples will be collected at baseline, 24 hours and 48 hours after surgery
Time frame: The first 48 hours after surgery.
Change in serum level of substance P
Blood samples will be collected at baseline, 24 hours and 48 hours after surgery
Time frame: The first 48 hours after surgery.
Change in serum level of dopamine
Blood samples will be collected at baseline, 24 hours and 48 hours after surgery
Time frame: The first 48 hours after surgery.
Change in serum level of serotonin
Blood samples will be collected at baseline, 24 hours and 48 hours after surgery
Time frame: The first 48 hours after surgery.
Change in serum level of tachykinin 1
Blood samples will be collected at baseline, 24 hours and 48 hours after surgery
Time frame: The first 48 hours after surgery.
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