Obesity Surgery

, Volume 23, Issue 9, pp 1389–1396

The Combination of Haloperidol, Dexamethasone, and Ondansetron for Prevention of Postoperative Nausea and Vomiting in Laparoscopic Sleeve Gastrectomy: a Randomized Double-Blind Trial

  • Márcio Luiz Benevides
  • Sérgio S de Souza Oliveira
  • José E de Aguilar-Nascimento
Original Contributions

DOI: 10.1007/s11695-013-0923-1

Cite this article as:
Benevides, M.L., Oliveira, S.S..S. & de Aguilar-Nascimento, J.E. OBES SURG (2013) 23: 1389. doi:10.1007/s11695-013-0923-1

Abstract

Background

Many patients may experience postoperative nausea and vomiting (PONV) following laparoscopic sleeve gastrectomy (LSG). We evaluated the efficacy of the combination of haloperidol, dexamethasone, and ondansetron for prevention of PONV after LSG.

Methods

Ninety patients were included in this prospective, randomized, double-blinded, three-arm study (group O: ondansetron 8 mg; group DO: dexamethasone 8 mg and ondansetron 8 mg; group HDO: haloperidol 2 mg, dexamethasone 8 mg, and ondansetron). Nausea, vomiting, rescue antiemetic use, morphine consumption, adverse events, and volume of intravenous fluids infused were recorded at regular intervals for 36 h postoperatively.

Results

The incidence of nausea was lower 0–2 h postoperatively in group HDO compared to group O (23.7 versus 56.7 %, p = 0.016) and at 12–24 h postoperatively was lower in group HDO (23.3 %) and group DO (26.7 %) compared to group O (60 %) (p = 0.008 and p = 0.009, respectively). At 0–36 h postoperatively, nausea was lower in group HDO compared to group O (53.3 versus 86.7 %, p = 0.013). Vomiting at 0–36 h postoperatively was lower in group HDO compared to group O (20 versus 53.3 %, p = 0.015). Rescue antiemetic drug and morphine consumption were less used in group HDO compared to group O (p <0.01). The volume of fluids infused in group O was approximately 1 l greater than in group HDO (p = 0.026).

Conclusion

The combination of haloperidol, dexamethasone, and ondansetron reduced PONV and the necessity of rescue antiemetics and also reduced morphine consumption and the volume of fluids infused postoperatively.

Keywords

Laparoscopic sleeve gastrectomy Postoperative nausea and vomiting Haloperidol Ondansetron Dexamethasone 

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Márcio Luiz Benevides
    • 1
  • Sérgio S de Souza Oliveira
    • 1
  • José E de Aguilar-Nascimento
    • 1
  1. 1.Department of Surgery, Medical SchoolFederal University of Mato GrossoCuiabáBrazil

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