Effects of a Dexmedetomidine on Quality of Recovery 40 and Postoperative Nausea and Vomiting in Breast Cancer Surgery
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Purpose
Postoperative nausea and vomiting (PONV) is common following beast surgery. Dexmedetomidine was reported to a reduced PONV due to opioid-sparing effect. It is not clear if dexmedetomidine itself is useful on reducing PONV. The hypothesis of present study: intraoperative application of single dose dexmedetomidine (0.5 mcg/kg) is is effective than placebo for reducing of PONV and improve postoperative quality of recovery score within 48 postoperative hours.
| Condition | Intervention |
|---|---|
|
Breast Cancer |
Drug: Dexmedetomidine Drug: Placebo |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Investigator) Primary Purpose: Prevention |
| Official Title: | Effects of a Single Dose Dexmedetomidine on Postoperative Nausea and Vomiting (PONV) and Quality of Recovery 40 (QoR 40) in Breast Cancer Surgery |
- Quality of Recovery 40 (QoR-40) [ Time Frame: 24 postoperative hours ] [ Designated as safety issue: Yes ]
quality of recovery was determined by QOR-40 questionnaire.
(all same as Dexmedetomidine group and Placebo group)
- Change from preoperative baseline in PONV within 48 postoperative hours [ Time Frame: every 6 hours within 48 postoperative hours ] [ Designated as safety issue: Yes ]
PONV was determined by visual analogue scale, number of emetic episode every 6 hours within 48 postoperative hours
(all same as Dexmedetomidine group and Placebo group)
| Estimated Enrollment: | 100 |
| Study Start Date: | September 2011 |
| Estimated Study Completion Date: | July 2012 |
| Primary Completion Date: | January 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Group D
A single dose dexmedetomidine 0.5 mcg/kg iv. 30 min before end of the surgery
|
Drug: Dexmedetomidine
A single dose dexmedetomidine 0.5 mcg/kg IV. 30 min before end of the surgery
|
|
Placebo Comparator: Group P
Placebo 0.5 mcg/kg iv. 30 min before end of the surgery
|
Drug: Placebo
Placebo 0.5 mcg/kg iv. 30 min before end of the surgery
|
Detailed Description:
This study was approved by the Institutional Review Board of Severance Hospital, Yonsei University Health System. After written informed consent was obtained from all patients, aged 20-75 years with ASA physical status class I-II who were scheduled breast cancer surgery under general anaesthesia were enrolled in this study All the patients were randomly assigned to receive dexmedetomidine or placebo during surgery. The primary outcome was quality of recovery determined by QOR-40 in the first 24h after surgery.The secondary outcome measure was PONV assessed by visual analogue scale every 6 hours within 48 postoperative hours.
Eligibility| Ages Eligible for Study: | 20 Years to 60 Years |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- ASA I, II
- aged 20-60 years
- Undergoing breast cancer surgery
Exclusion Criteria:
- CAOD
- Bradycardia
- QT prolongation
Contacts and Locations| Contact: Yong Seon Choi, MD,PhD | 82-2-2227-3556 | yschoi@yuhs.ac |
| Contact: Shin Hyung Kim, MD | 82-2-2227-3556 | tessar@yuhs.ac |
| Korea, Republic of | |
| Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine, 250 Seungsan-no, Seodaemun-gu | Recruiting |
| Seoul, Korea, Republic of, 120-752 | |
| Contact: Yong Seon Choi, MD, PhD 82-2-2227-3556 yschoi@yuhs.ac | |
| Contact: Shin Hyung Kim, MD, PhD 82-2-2227-3556 tessar@yuhs.ac | |
More Information
No publications provided
| Responsible Party: | Yonsei University |
| ClinicalTrials.gov Identifier: | NCT01548209 History of Changes |
| Other Study ID Numbers: | 4-2011-0415 |
| Study First Received: | February 27, 2012 |
| Last Updated: | July 19, 2012 |
| Health Authority: | Korea: Food and Drug Administration |
Additional relevant MeSH terms:
|
Breast Neoplasms Postoperative Nausea and Vomiting Neoplasms by Site Neoplasms Breast Diseases Skin Diseases Postoperative Complications Pathologic Processes Nausea Signs and Symptoms, Digestive Signs and Symptoms Vomiting Dexmedetomidine Hypnotics and Sedatives Central Nervous System Depressants |
Physiological Effects of Drugs Pharmacologic Actions Central Nervous System Agents Therapeutic Uses Analgesics, Non-Narcotic Analgesics Sensory System Agents Peripheral Nervous System Agents Adrenergic alpha-2 Receptor Agonists Adrenergic alpha-Agonists Adrenergic Agonists Adrenergic Agents Neurotransmitter Agents Molecular Mechanisms of Pharmacological Action |
ClinicalTrials.gov processed this record on May 21, 2013