Evidence map›Paper›PMID 38899063›Full record

Trial reportPain research & management2024

Effect of Ondansetron on Postoperative Pain and Vomiting after Acute Appendicitis Surgery: A Placebo-Controlled Double-Blinded Randomized Clinical Trial.

Moein Khoori, Peyman Mirghaderi, Alireza Azarboo, Forough Jamil, Nasim Eshraghi, Alireza Abdollahzadeh Baghaei

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Pain research & management, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06632184 (Pilot Comparative Study on the Efficacy of Multimodal Management With Peritoneal Lavage Using Saline Solution Versus Saline Solution With Ondansetron in Laparoscopic Cholecystectomy), which is not on this map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 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.

NCT06632184 phase4active not recruitingnot on this mapstarted 2025, after this paper: background citation

Pilot Comparative Study on the Efficacy of Multimodal Management With Peritoneal Lavage Using Saline Solution Versus Saline Solution With Ondansetron in Laparoscopic Cholecystectomy

TypeinterventionalSponsorInstituto Mexicano del Seguro SocialRan2025 to 2026Enrolled40ConditionsPostoperative Pain Management, Laparoscopic Cholecystectomy, Ondansetron, Postoperative Nausea and VomitingArmsOndansetron Intraperitoneal Lavage, Saline Intraperitoneal Lavage
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Major Adverse Cardiac Events with Ondansetron: A Systematic Review.Clinical pharmacology and therapeutics · 2026
    Pooled it
  2. Review
  3. 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.

Moein KhooriDepartment of Orthopedic Surgery, Joint Reconstruction Research Center, Tehran University of Medical Sciences, Tehran, Iran.ORCID 0000-0002-0185-8733
Peyman MirghaderiSurgical Research Society (SRS), Students' Scientific Research Center, Tehran University of Medical Sciences, Tehran, Iran.ORCID 0000-0002-3522-8772
Alireza AzarbooSchool of Medicine, Tehran University of Medical Sciences, Tehran, Iran.ORCID 0000-0003-3399-2360
Forough JamilDepartment of Radiology, Faculty of Medicine, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.ORCID 0009-0008-8846-9538
Nasim EshraghiVali-E-Asr Reproductive Health Research Center, Family Health Research Institute, Tehran University of Medical Sciences, Tehran, Iran.
Alireza Abdollahzadeh BaghaeiAnesthesiology, Critical Care and Pain Management Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.ORCID 0000-0002-4039-7941

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Common postoperative complications following surgery, particularly acute appendicitis surgery, include postoperative pain and vomiting, which can cause discomfort and delay recovery time. Methods: A randomized double-blinded placebo-controlled clinical trial was conducted with 80 cases of acute appendicitis of American Society of Anesthesiologists (ASA) physical status I or II and aged 18-60 y/o scheduled for appendectomy under general anesthesia. Patients were randomly divided into two equal groups: group A received 4 mg of ondansetron IV (2 ml) and group B received 2 ml of normal slain IV (placebo). Pain according to VAS, nausea and vomiting according to clinical symptoms, shivering and sedation according to the Bedside Shivering Assessment Scale (BSAS), and the Ramsay Sedation Scale (RSS) at 2, 6, 12, and 24 hours after surgery were evaluated and compared between the groups. Results: There was a significant decline in the severity of pain only at 2 hours after surgery between the ondansetron and control groups (5.3 ± 1.0 vs. 6.0 ± 1.0; Conclusions: In conclusion, our study found that ondansetron was effective in reducing postoperative vomiting after acute appendicitis surgery. However, it did not show a clinically significant effect on postoperative pain. This trial is registered with IRCT20230722058883N1.

Indexed as

AppendicitisOndansetronPostoperative PainAdolescentAdultAntiemeticsAppendectomyDouble-Blind MethodFemaleHumansMaleMiddle AgedPain MeasurementPostoperative Nausea and VomitingTime FactorsTreatment OutcomeAntiemeticsOndansetron

Identifiers

PMID38899063
PMCPMC11186684

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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.