Evidence map›Paper›PMID 34002866›Full record

SynthesisThe Cochrane database of systematic reviews2021

Interventions for preventing nausea and vomiting in women undergoing regional anaesthesia for caesarean section.

James D Griffiths, Gillian Ml Gyte, Phil A Popham, Kacey Williams, Shantini Paranjothy, Hannah K Broughton, Heather C Brown, Jane Thomas

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in The Cochrane database of systematic reviews, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

14 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

James D GriffithsDepartment of Anaesthesia, Royal Women's Hospital, Parkville, Australia.
Gillian Ml GyteCochrane Pregnancy and Childbirth Group, Department of Women's and Children's Health, University of Liverpool, Liverpool, UK.
Phil A PophamRoyal Women's Hospital, Parkville, Australia.
Kacey WilliamsDepartment of Anaesthesia, Monash Medical Centre, Monash Health, Clayton, Australia.
Shantini ParanjothyCochrane Institute of Primary Care and Public Health, School of Medicine, Cardiff University, Cardiff, UK.
Hannah K BroughtonCochrane Institute of Primary Care and Public Health, School of Medicine, Cardiff University, Cardiff, UK.
Heather C BrownDepartment of Obstetrics and Gynaecology, Royal Sussex County Hospital, Brighton, UK.
Jane ThomasC/o Cochrane Pregnancy and Childbirth Group, Department of Women's and Children's Health, The University of Liverpool, Liverpool, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNausea and vomiting are distressing symptoms which are experienced commonly during caesarean section under regional anaesthesia and in the postoperative period. 

objectivesTo assess the efficacy of pharmacological and non-pharmacological interventions versus placebo or no intervention given prophylactically to prevent nausea and vomiting in women undergoing regional anaesthesia for caesarean section. SEARCH

methodsFor this update, we searched Cochrane Pregnancy and Childbirth's Trials Register, ClinicalTrials.gov and the WHO International Clinical Trials Registry Platform (ICTRP) (16 April 2020), and reference lists of retrieved studies. SELECTION CRITERIA: We included randomised controlled trials (RCTs) of studies and conference abstracts, and excluded quasi-RCTs and cross-over studies. DATA COLLECTION AND ANALYSIS: Review authors independently assessed the studies for inclusion, assessed risk of bias and carried out data extraction. Our primary outcomes are intraoperative and postoperative nausea and vomiting. Data entry was checked. Two review authors independently assessed the certainty of the evidence using the GRADE approach. MAIN

resultsEighty-four studies (involving 10,990 women) met our inclusion criteria. Sixty-nine studies, involving 8928 women, contributed data. Most studies involved women undergoing elective caesarean section. Many studies were small with unclear risk of bias and sometimes few events. The overall certainty of the evidence assessed using GRADE was moderate to very low. 5-HT AUTHORS'

conclusionsThis review indicates that 5-HT

Indexed as

Cesarean SectionAcupressureAdrenal Cortex HormonesAnesthesia, ConductionBiasDopamine AntagonistsElective Surgical ProceduresFemaleHumansHypnotics and SedativesIntraoperative ComplicationsNauseaPostoperative Nausea and VomitingPregnancyPregnancy ComplicationsRandomized Controlled Trials as TopicAdrenal Cortex HormonesDopamine AntagonistsHypnotics and SedativesSerotonin Antagonists

Identifiers

PMID34002866
PMCPMC8130052

What OpenQuestion holds

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Registered trials

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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.