Key result
IV ondansetron increases complete response to ~58% versus placebo in women undergoing surgery.
Why the study?
The efficacy of ondansetron in preventing postoperative nausea and vomiting in surgical patients was studied to address the need for effective prophylaxis.
Does intravenous ondansetron prevent postoperative nausea and vomiting in female surgical patients?
Comparison
Two 8 mg doses of intravenous ondansetron vs two doses of placebo vehicle
Design
Randomized double-blind controlled trial
Follow-up
24 hours
Authors
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Supports routine IV ondansetron use for PONV prophylaxis in women undergoing surgery; confirms efficacy versus placebo in this RCT.
RCT (n=50)
Double-blind
randomized
Does intravenous ondansetron prevent postoperative nausea and vomiting in female surgical patients?
Absolute Event Rate: 58% vs 4%
p-value: p=<0.001
Intravenous ondansetron is highly effective in preventing postoperative nausea and vomiting in female surgical patients.
Dershwitz et al. (1992) conducted an RCT in Postoperative nausea and vomiting (n=50). Ondansetron vs. Placebo was evaluated on Complete responders (no emetic episodes and no rescue therapy) (p=<0.001). Intravenous ondansetron significantly increased the rate of complete responders (no emetic episodes or rescue therapy) compared to placebo (58% vs 4%, P<0.001) in women undergoing surgery.
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