27,034
Participants
Start Date
July 31, 2016
Primary Completion Date
November 2, 2017
Study Completion Date
November 30, 2017
Automated recommendation at the start of the case
The first notification is the main notification that informs the anesthesia providers at the start of anesthesia of the risk score for that individual patient and the recommended number of prophylactic interventions. The notification occurs within the anesthesia information management system (AIMS)
Automated notification at the start of surgery
The second notification within the AIMS will notify the anesthesia providers at the start of surgery when no prophylaxis has been given while three or more interventions were recommended.
Preoperative recommendations: by email
A recommendation on PONV prophylaxis to anesthesia providers through email at the Vanderbilt University Medical Center.
Automated notification at the end of surgery
A notification will remind anesthesia providers at the closing of surgery how many prophylactic interventions are required to adhere to the recommended number of interventions.
Anesthesia Information Management System (AIMS)
The anesthesia electronic record keeping system
Perioperative Data Warehouse (PDW)
The data warehouse that is used to gather perioperative data and create user reports. In this instance the PDW will be used to send the preoperative emails.
General anesthesia
Any anesthetic drugs that are used to induce general anesthesia above the level of sedation.
Elective surgery
Surgical procedures that are scheduled and not an emergency.
Propofol
Anesthetic drug used to maintain general anesthesia
Sevoflurane
Anesthetic drug used to maintain general anesthesia
Isoflurane
Anesthetic drug used to maintain general anesthesia
Desflurane
Anesthetic drug used to maintain general anesthesia
Scopolamine
Prophylactic antiemetic
Droperidol
Prophylactic antiemetic \& rescue antiemetic
Haloperidol
Prophylactic antiemetic \& rescue antiemetic
Dexamethasone
Prophylactic antiemetic \& rescue antiemetic
Promethazine
Prophylactic antiemetic \& rescue antiemetic
Meclizine
Prophylactic antiemetic \& rescue antiemetic
Aprepitant
Prophylactic antiemetic \& rescue antiemetic
Metoclopramide
Rescue antiemetic
Fentanyl
Analgesic drug / Opioid
Sufentanil
Analgesic drug / Opioid
Alfentanil
Analgesic drug / Opioid
Remifentanil
Analgesic drug / Opioid
Morphine
Analgesic drug / Opioid
Meperidine
Analgesic drug / Opioid
Hydromorphone
Analgesic drug / Opioid
Methadone
Analgesic drug / Opioid
Oxycodone
Analgesic drug / Opioid
Oxymorphone
Analgesic drug / Opioid
Hydrocodone
Analgesic drug / Opioid
Ketamine
Analgetic / Analgesic drug
Ondansetron
Prophylactic antiemetic \& rescue antiemetic
Granisetron
Prophylactic antiemetic \& rescue antiemetic
Dolasetron mesylate
Prophylactic antiemetic \& rescue antiemetic
Palonosetron
Prophylactic antiemetic \& rescue antiemetic
Tropisetron
Prophylactic antiemetic \& rescue antiemetic
Ramosetron
Prophylactic antiemetic \& rescue antiemetic
Vanderbilt University Medical Center, Nashville
Vanderbilt University
OTHER