The proposed randomized clinical trial aims to test and compare the efficacy of chewing gum vs. Intravenous antiemetic ondansetron as rescue treatment for post-operative nausea and vomiting (PONV) among Lebanese female patients undergoing laparoscopic surgery in the post-operative anesthesia care unit (PACU).
Post-operative nausea and vomiting remains a significant complication following general anesthesia, particularly when volatile anesthetics are used. Previous studies, including a multicenter randomized trial conducted in Australia, have explored alternative treatment modalities for PONV. Chewing gum, a non-pharmacological intervention, has shown promise as a potential alternative or adjunct to conventional antiemetics like ondansetron. This study focuses on the Lebanese female population, aged 18 and above, who have undergone laparoscopic surgery under volatile anesthetic-based general anesthesia. This demographic is chosen based on established risk factors for PONV and may offer unique insights into efficacy within this subgroup.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
90
4 mg IV push
Peppermint sugar free chewing gum
Ondansetron 4 mg IV push Peppermint sugar free chewing gum
Makassed General Hospital
Beirut, Lebanon
Complete cessation of PONV with no recurrence and no rescue medication
Time frame: 2 hours
Patient satisfaction
Time frame: post-operative period ( up to 3 hours)
Quantity of rescue treatment modalities used
Time frame: immediately after PONV start until complete resolution of symptoms
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