Evidence map›Paper›PMID 38982400›Full record

Trial reportBMC anesthesiology2024

The effect of BIS-guided anaesthesia on the incidence of postoperative nausea and vomiting in children: a prospective randomized double-blind study.

Michal Frelich, Peter Sklienka, Tereza Romanová, Simona Němcová, Markéta Bílená, Hana Straková, Karolína Lečbychová, Ondřej Jor, Martin Formánek, Filip Burša

2 registry-linked trialsAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC anesthesiology, 2024. 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 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing 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.

NCT04466579 nacompletednot on this map

Influence of Monitoring the Depth of General Anesthesia Upon the Incidence of PONV and Emergence Delirium in Children Undergoing Endoscopic Adenoidectomy in General Anesthesia

TypeinterventionalSponsorUniversity Hospital OstravaRan2020 to 2023Enrolled100ConditionsPostoperative Nausea, Postoperative Vomiting, Emergence DeliriumArmsBIS monitor, Standard care
NCT07189845 nacompletednot on this mapstarted 2025, after this paper: background citation

Effect of Bispectral Index (BIS)-Guided Anesthesia on Postoperative Nausea and Vomiting in Children Aged 3 to 8 Years: A Prospective Randomized Controlled Trial

TypeinterventionalSponsorEngin ÇetinRan2025 to 2026Enrolled58ConditionsPONV, BISArmsBIS GROUP, CONTROL GROUP
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Review
  6. Article
  7. 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

10 authors.

Michal FrelichDepartment of Anesthesiology and Intensive Care Medicine, University Hospital of Ostrava, 17.listopadu 1790, Ostrava, 708 52, Czech Republic.
Peter SklienkaDepartment of Anesthesiology and Intensive Care Medicine, University Hospital of Ostrava, 17.listopadu 1790, Ostrava, 708 52, Czech Republic.
Tereza RomanováDepartment of Anesthesiology and Intensive Care Medicine, University Hospital of Ostrava, 17.listopadu 1790, Ostrava, 708 52, Czech Republic.
Simona NěmcováDepartment of Anesthesiology and Intensive Care Medicine, University Hospital of Ostrava, 17.listopadu 1790, Ostrava, 708 52, Czech Republic.
Markéta BílenáDepartment of Anesthesiology and Intensive Care Medicine, University Hospital of Ostrava, 17.listopadu 1790, Ostrava, 708 52, Czech Republic.
Hana StrakováDepartment of Anesthesiology and Intensive Care Medicine, University Hospital of Ostrava, 17.listopadu 1790, Ostrava, 708 52, Czech Republic.
Karolína LečbychováDepartment of Anesthesiology and Intensive Care Medicine, University Hospital of Ostrava, 17.listopadu 1790, Ostrava, 708 52, Czech Republic.
Ondřej JorDepartment of Anesthesiology and Intensive Care Medicine, University Hospital of Ostrava, 17.listopadu 1790, Ostrava, 708 52, Czech Republic.
Martin FormánekDepartment of Intensive Medicine, Emergency Medicine and Forensic Studies, University of Ostrava, Ostrava, Czech Republic.
Filip BuršaDepartment of Anesthesiology and Intensive Care Medicine, University Hospital of Ostrava, 17.listopadu 1790, Ostrava, 708 52, Czech Republic. filip.bursa@fno.cz.

Funding

Ministerstvo Zdravotnictví Ceské Republiky MH CZ - DRO (FNOs/2023)
6 · The paper itself

Abstract

backgroundPostoperative nausea and vomiting (PONV) is a significant problem following paediatric surgery, and volatile anaesthetics are an important cause of this phenomenon. BIS-guided anaesthesia, by reducing the consumption of anaesthetics, leads to a decrease in PONV in adult patients. STUDY

objectiveEvaluate the role of BIS-guided anaesthesia in reducing the incidence of paediatric PONV.

designProspective, randomized, double-blind study.

settingA single center study in university hospital in Czech republic, from June 2021 to November 2022. PATIENTS: A total of 163 children, aged 3-8 years with ASA I-II who underwent endoscopic adenoidectomy under general anaesthesia were included.

interventionsIn the intervention group, the depth of anaesthesia was maintained to values between 40 and 60 of BIS.

main outcome measureThe primary outcome was the incidence of postoperative nausea and vomiting during 24 h after surgery.

resultsThe use of BIS-guided anaesthesia led to a significant decrease in the incidence of nausea and vomiting compared to the control group [17% vs. 53%; RR (95%CI) 0.48 (0.27-0.86); p < 0.001and 16% vs. 34%; RR (95%CI) 0.33 (0.20-0.54); p = 0.01, respectively].

conclusionsBIS-guided anaesthesia decreases the incidence of postoperative nausea and vomiting in children undergoing adenoidectomy.

trial registrationClinicaltrials.gov identifier: NCT04466579.

Indexed as

AdenoidectomyAnesthesia, GeneralPostoperative Nausea and VomitingChildChild, PreschoolCzech RepublicDouble-Blind MethodFemaleHumansIncidenceMaleProspective StudiesBIS monitoringChildrenPostoperative nausea and vomitingPostoperative pain

Identifiers

PMID38982400
PMCPMC11232140

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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.