Evidence map›Paper›PMID 27990189›Full record

ArticleThe open orthopaedics journal2016

Effects of Modification of Pain Protocol on Incidence of Post Operative Nausea and Vomiting.

Ran Schwarzkopf, Nimrod Snir, Zachary T Sharfman, Joseph B Rinehart, Michael-David Calderon, Esther Bahn, Brian Harrington, Kyle Ahn

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The open orthopaedics journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.9field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 5 citations in OpenAlex.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Ran SchwarzkopfDivision of Adult Reconstruction, Department of Orthopaedic Surgery, NYU Langone Medical Center Hospital for Joint Diseases, NY, New York, USA.
Nimrod SnirDepartment of Orthopaedic Surgery, Sorasky Medical Center, Tel-Aviv, Israel.
Zachary T SharfmanDepartment of Orthopaedic Surgery, Sorasky Medical Center, Tel-Aviv, Israel.
Joseph B RinehartDepartment of Anesthesiology and Perioperative Care, University of California, Irvine Medical Center, Orange, California, USA.
Michael-David CalderonDepartment of Anesthesiology and Perioperative Care, University of California, Irvine Medical Center, Orange, California, USA.
Esther BahnDepartment of Anesthesiology and Perioperative Care, University of California, Irvine Medical Center, Orange, California, USA.
Brian HarringtonDepartment of Anesthesiology and Perioperative Care, University of California, Irvine Medical Center, Orange, California, USA.
Kyle AhnDepartment of Anesthesiology and Perioperative Care, University of California, Irvine Medical Center, Orange, California, USA.
University of California, Irvine Medical Center · USNYU Langone Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA Perioperative Surgical Home (PSH) care model applies a standardized multidisciplinary approach to patient care using evidence-based medicine to modify and improve protocols. Analysis of patient outcome measures, such as postoperative nausea and vomiting (PONV), allows for refinement of existing protocols to improve patient care. We aim to compare the incidence of PONV in patients who underwent primary total joint arthroplasty before and after modification of our PSH pain protocol.

methodsAll total joint replacement PSH (TJR-PSH) patients who underwent primary THA (n=149) or TKA (n=212) in the study period were included. The modified protocol added a single dose of intravenous (IV) ketorolac given in the operating room and oxycodone immediate release orally instead of IV Hydromorphone in the Post Anesthesia Care Unit (PACU). The outcomes were (1) incidence of PONV and (2) average pain score in the PACU. We also examined the effect of primary anesthetic (spinal

resultsThe incidence of post-operative nausea in the PACU decreased significantly with the modified protocol (27.4%

conclusionSimple modifications to TJR-PSH multimodal pain management protocol, with decrease in IV narcotic use, resulted in a lower incidence of postoperative nausea, without compromising average PACU pain scores. This report demonstrates the need for continuous monitoring of PSH pathways and implementation of revisions as needed.

Indexed as

Multimodal pain managementNarcoticsOpioidsPerioperative surgical homePostoperative nausea and vomitingTotal joint replacement

Identifiers

PMID27990189
PMCPMC5125376
OpenAlexW2548689265

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.