Evidence map›Paper›PMID 37936053›Full record

Trial reportBMC anesthesiology2023

Effect of dexamethasone and ramosetron on the prevention of postoperative nausea and vomiting in low-risk patients: a randomized, double-blind, placebo-controlled, multicenter trial.

Jong-Ho Kim, Jin-Sun Kim, Yeong-Gwan Jeon, Jangho Bae, Kiyoung Shin, Byeongmun Hwang

Open access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC anesthesiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.3field-weighted citation impact, top 19% 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

4 citing papers in PubMed, 4 citations in OpenAlex.

  1. Trial
  2. Article
  3. Optimizing Anesthetic Management for Laparoscopic Surgery: A Comprehensive Review.Medical science monitor : international medical journal of experimental and clinical research · 2024
    Review
  4. 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

6 authors at 4 institutions in 1 country.

Jong-Ho KimDepartment of Anesthesiology and Pain Medicine, Hallym University Chuncheon Sacred Heart Hospital, Hallym University Medical Center, 77 Sakju-ro, Chuncheon, 24253, Republic of Korea.
Jin-Sun KimDepartment of Anesthesiology and Pain Medicine, Gangneung Asan Hospital, College of Medicine, University of Ulsan, Gangwon, Republic of Korea.
Yeong-Gwan JeonDepartment of Anesthesiology and Pain Medicine, Wonju College of Medicine, Yonsei University Hospital, Wonju, Republic of Korea.
Jangho BaeDepartment of Anesthesiology and Pain Medicine, School of Medicine, Kangwon National University Hospital, Kangwon National University, Chuncheon, 24341, Gangwon-do, Republic of Korea.
Kiyoung ShinDepartment of Anesthesiology and Pain Medicine, School of Medicine, Kangwon National University Hospital, Kangwon National University, Chuncheon, 24341, Gangwon-do, Republic of Korea.
Byeongmun HwangDepartment of Anesthesiology and Pain Medicine, School of Medicine, Kangwon National University Hospital, Kangwon National University, Chuncheon, 24341, Gangwon-do, Republic of Korea. arim14@kangwon.ac.kr.
Hallym University · KRKangwon National University Hospital · KRKangwon National University · KRYonsei University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSeveral studies have investigated the effect of antiemetics on postoperative nausea and vomiting (PONV) in high-risk groups. However, few studies have investigated the effect of antiemetics in patients at low risk of developing PONV.

methodsIn this prospective, randomized, double-blinded trial, 177 patients undergoing surgery under general anesthesia were randomly allocated to three groups. Patients allocated to group C (control group) received 2 mL of intravenous 0.9% saline, those allocated to group R (ramosetron group) received 0.3 mg of intravenous ramosetron, and those allocated to group DR (ramosetron plus dexamethasone group) received 5 mg of intravenous dexamethasone and 0.3 mg of intravenous ramosetron.

resultsFinally, 174 patients completed the study, and the types of surgeries were orthopedic (n = 80), rhinologic (n = 47), urologic (n = 29), and others (n = 18). The incidence of PONV up to 48 h postoperatively was significantly lower in group DR than in group C. The incidence of PONV up to 0-1 h postoperatively was significantly lower in groups R and DR than in group C. The usage pattern of rescue antiemetics was consistent with the incidence of PONV. The percentage of patients requiring rescue analgesics 0-1 h postoperatively was significantly lower in groups R and DR than in group C.

conclusionsThe combination of dexamethasone and ramosetron demonstrated a superior effect in preventing PONV for 48 h after surgery under general anesthesia than saline in patients at low risk of developing PONV. Compared with saline injections, ramosetron injections yielded better outcomes for the incidence of PONV and the use of rescue antiemetics and rescue analgesics 0-1 h postoperatively.

trial registrationClinical trial registration number: criskorea@korea.kr, KCT0006749.

Indexed as

AntiemeticsAnalgesicsBenzimidazolesDexamethasoneDouble-Blind MethodHumansPostoperative Nausea and VomitingProspective StudiesAnalgesicsAntiemeticsBenzimidazolesDexamethasoneramosetronAntiemeticsDexamethasoneGeneral anesthesiaPostoperative nausea and vomitingProphylaxisRamosetron

Identifiers

PMID37936053
PMCPMC10629132
OpenAlexW4388459649

What OpenQuestion holds

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LicenceCC BY
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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.