Evidence map›Paper›PMID 37716930›Full record

Trial reportWorld journal of surgery2023

Effect of Preoperative Carbohydrate Drink and Postoperative Chewing Gum on Postoperative Nausea and Vomiting in Patients Undergoing Day Care Laparoscopic Cholecystectomy: A Randomized Controlled Trial.

Mounika Balabolu, Kishore Abuji, Shiv Lal Soni, S N Satish, Akhilesh Sharma, Ajay Singh, Arunanshu Behera, Cherring Tandup, Lileswar Kaman, Divya Dahiya

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in World journal of surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 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

6 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Review
  6. Article
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

10 authors.

Mounika BalaboluDepartment of Surgery, PGIMER, Chandigarh, India.
Kishore AbujiDepartment of Surgery, PGIMER, Chandigarh, India.ORCID 0000-0003-2904-195X
Shiv Lal SoniDepartment of Anaesthesia and Critical Care, PGIMER, Chandigarh, India.
S N SatishDepartment of Surgery, PGIMER, Chandigarh, India.
Akhilesh SharmaDepartment of Psychiatry, PGIMER, Chandigarh, India.
Ajay SinghDepartment of Anaesthesia and Critical Care, PGIMER, Chandigarh, India.
Arunanshu BeheraDepartment of Surgery, PGIMER, Chandigarh, India.
Cherring TandupDepartment of Surgery, PGIMER, Chandigarh, India.
Lileswar KamanDepartment of Surgery, PGIMER, Chandigarh, India.
Divya DahiyaDepartment of Surgery, PGIMER, Chandigarh, India. dahiyadivya30@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPostoperative nausea and vomiting (PONV) causes an unexpected prolonged hospital stay after ambulatory surgery. Novel measures such as preoperative loading of oral carbohydrates and postoperative chewing gum have recently gained momentum for postoperative recovery. This study evaluated the effects of preoperative carbohydrate loading and postoperative chewing gum (CG) on PONV after daycare laparoscopic cholecystectomy (LC).

methodsA total of 100 patients were randomized to group A (preoperative carbohydrate loading with 200 ml of water with 25 g of carbohydrate and postoperative chewing gum (CG) when the patient responded to his/her name) and group B (standard care). The incidence of PONV and pain was assessed by using visual analogue scale. Quality of recovery (QoR-15) was assessed by using QoR15 questionnaire at 6 h, 24 h and 48 h after surgery.

resultsThe incidence of PONV and pain was lower in group A; however, it was not significant (p > 0.05). The severity of PONV, pain and the need for rescue antiemetic was significantly lower in group A (p < 0.05). The episodes of PONV and required dose of antiemetic were less in group A. Group A also had a significantly higher QoR-15 score at all time points (p < 0.001). Preoperative dyspepsia was also noticed as a significant confounding predictor for postoperative vomiting.

conclusionPreoperative carbohydrate drinks and early postoperative CG reduces the severity of PONV and requirement of antiemetics in patients undergoing LC. Hence, these simple measures can be used as a standard of care to optimize perioperative care in patients undergoing daycare surgery.

Indexed as

AntiemeticsCholecystectomy, LaparoscopicChewing GumDay Care, MedicalDouble-Blind MethodFemaleHumansMalePostoperative Nausea and VomitingPostoperative PainAntiemeticsChewing Gum

Identifiers

PMID37716930

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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.