Evidence map›Paper›PMID 31521119›Full record

Trial reportBMC anesthesiology2019

Sub-hypnotic dose of propofol as antiemetic prophylaxis attenuates intrathecal morphine-induced postoperative nausea and vomiting, and pruritus in parturient undergoing cesarean section - a randomized control trial.

Sylvanus Kampo, Alfred Parker Afful, Shiraj Mohammed, Michael Ntim, Alexis D B Buunaaim, Thomas Winsum Anabah

2 registry-linked trialsOpen access · goldAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC anesthesiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 12 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 7 pooled it
2.4field-weighted citation impact, top 11% 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.

NCT05071794 phase4completednot on this mapstarted 2021, after this paper: background citation

Effect of Propofol on Postoperative Nausea and Vomiting in Patients Undergoing Elective Cesarean Section Under Spinal Anesthesia.

TypeinterventionalSponsorPakistan Air Force (PAF) Hospital IslamabadRan2021 to 2022Enrolled60ConditionsPostoperative Nausea and VomitingArmsPropofol, saline 0.9%
NCT06715657 phase4not yet recruitingnot on this mapstarted 2024, after this paper: background citation

Effect of Propofol Administration Time on the Incidence and Severity of Intrathecal Morphine-induced Pruritus in Parturient Undergoing Elective Cesarean Delivaries: A Prospective, Randomized, Comparative Controlled Study

TypeinterventionalSponsorAssiut UniversityRan2024 to 2027Enrolled204ConditionsCesarean SectionArmsMorphine intrathecal, propofol
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 7 syntheses or guidelines pooled it, 26 citations in OpenAlex.

  1. RemimazolamPeerJ · 2026
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. RemimazolamPeerJ · 2023
    Pooled it
  6. Pooled it
  7. Pooled it
  8. Observational
  9. Article
  10. Article
  11. Article
  12. 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

6 authors at 3 institutions in 2 countries.

Sylvanus KampoDepartment of Anesthesia and Intensive Care, School of Medicine and Health Science, University for Development Studies, Tamale, Ghana. sylvanuskampo@yahoo.com.ORCID 0000-0002-3002-5124
Alfred Parker AffulDepartment of Anesthesia and Intensive Care, School of Medicine and Health Science, University for Development Studies, Tamale, Ghana.
Shiraj MohammedDepartment of Anesthesia, Tamale Teaching Hospital, Tamale, Ghana.
Michael NtimDepartment of Physiology, Dalian Medical University, Dalian, China.
Alexis D B BuunaaimDepartment of Surgery, School of Medicine and Health Science, University for Development Studies, Tamale, Ghana.
Thomas Winsum AnabahDepartment of Anesthesia and Intensive Care, School of Medicine and Health Science, University for Development Studies, Tamale, Ghana.
Tamale Teaching Hospital · GHUniversity for Development Studies · GHDalian Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPostoperative Nausea and Vomiting (PONV) is a dreadful and uncomfortable experience that significantly detracts patients' quality of life after surgery. This study aimed to examine the antiemetic effect of a single sub-hypnotic dose of propofol as prophylaxis for PONV.

methodIn this prospective, double-blind, randomized control trial, 345 parturients presented for elective cesarean section at the Obstetric unit of Tamale Teaching Hospital were recruited. Each recruited parturient was randomly assigned to one of three groups; Propofol group (n = 115) represented those who received propofol 0.5 mg/kg, Metoclopramide group (n = 115) represented those who received metoclopramide 10 mg and, Control group (n = 115) represented those who received 0.9% saline. Spinal anesthesia with 0.5% hyperbaric bupivacaine 7.5-10 mg, and intrathecal morphine 0.2 mg was employed for the anesthesia.

resultsThe data indicate that 108 (93.9%) parturients from the control group, 10 (8.7%) from the propofol group and 8 (7.0%) from the metoclopramide group experienced some incidence of PONV. There was no significant difference in the incidence of PONV (nausea, vomiting, and none) between the propofol and the metoclopramide groups (P = 0.99; 0.31; and 0.35 respectively). Parturients who received antiemetic agents were 105 (97.2%), 1 (10.0%) and 3 (37.5%) from the control, propofol and metoclopramide groups respectively. The data indicated that 98 (85.2%) parturients from the control, 3 (2.6%) from propofol group, and 100 (87.0%) from the metoclopramide group experienced some levels of pruritus. There was a significant difference in the incidence of pruritus (mild, moderate, and no pruritus) between the metoclopramide and propofol groups (P <  0.01; P <  0.01; and P <  0.01 respectively).

conclusionA sub-hypnotic dose of propofol is effective as metoclopramide in the prevention of PONV in parturient undergoing cesarean section under spinal anesthesia with intrathecal morphine. Sub-hypnotic dose of propofol significantly reduces the incidence of postoperative pruritus following intrathecal morphine use.

trial registrationCurrent control trial, registered at ISRCTN trial registry: ISRCTN15475205 . Date registered: 03/04/2019. Retrospectively registered.

Indexed as

AdultAnalgesics, OpioidAntiemeticsCesarean SectionDose-Response Relationship, DrugDouble-Blind MethodFemaleHumansHypnotics and SedativesInjections, SpinalMetoclopramideMorphinePostoperative Nausea and VomitingPregnancyPropofolProspective StudiesAnalgesics, OpioidAntiemeticsHypnotics and SedativesMetoclopramideMorphinePropofolAntiemeticCesarean sectionMetoclopramideParturientPostoperative nausea and vomitingProphylaxisPropofolPruritus

Identifiers

PMID31521119
PMCPMC6745062
OpenAlexW2973080643

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.