Evidence map›Paper›PMID 39271579›Full record

SynthesisDie Anaesthesiologie2024

Effect of remimazolam for general anesthesia on postoperative nausea and vomiting : A systematic review and meta-analysis.

Su Yeon Kim, Kyu Man Sim, Hyo-Seok Na, Bon-Wook Koo, Hyun-Jung Shin

Abstract readSystematic ReviewMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in Die Anaesthesiologie, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing 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.

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

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

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

5 authors.

Su Yeon KimDepartment of Anesthesiology and Pain Medicine, Seoul National University Bundang Hospital, 82, Gumiro 173, 13620, Bundang, Seongnam, Gyeonggi, Korea (Republic of).
Kyu Man SimDepartment of Anesthesiology and Pain Medicine, Seoul National University Bundang Hospital, 82, Gumiro 173, 13620, Bundang, Seongnam, Gyeonggi, Korea (Republic of).
Hyo-Seok NaDepartment of Anesthesiology and Pain Medicine, Seoul National University Bundang Hospital, 82, Gumiro 173, 13620, Bundang, Seongnam, Gyeonggi, Korea (Republic of).
Bon-Wook KooDepartment of Anesthesiology and Pain Medicine, Seoul National University Bundang Hospital, 82, Gumiro 173, 13620, Bundang, Seongnam, Gyeonggi, Korea (Republic of).
Hyun-Jung ShinDepartment of Anesthesiology and Pain Medicine, Seoul National University Bundang Hospital, 82, Gumiro 173, 13620, Bundang, Seongnam, Gyeonggi, Korea (Republic of). hjshin.anesth@gmail.com.ORCID 0000-0003-0991-7061

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBenzodiazepines reduce postoperative nausea and vomiting (PONV); however, conflicting results have been reported regarding the use of remimazolam, a novel benzodiazepine.

objectiveThis meta-analysis examines whether remimazolam reduces PONV incidence compared with propofol or volatile agents used in general anesthesia. MATERIAL AND

methodsElectronic databases, including PubMed, EMBASE, CENTRAL, and Web of Science, were searched on 31 July 2023. The primary outcome was the incidence of PONV. Secondary outcomes included PONV severity, rescue antiemetic use, amounts of remifentanil used, and participant satisfaction scores. Odds ratios (OR) and mean differences (MD) with 95% confidence intervals (CI) were calculated using a random-effects model. The risk of bias (RoB) was assessed using the Cochrane RoB2 tool.

resultsA total of 1514 adult patients from 11 randomized controlled trials were included. The incidences of PONV in the remimazolam and control groups were 16.1% and 16.5%, respectively. Remimazolam did not increase the incidence of PONV (OR 0.62; 95% CI, 0.37-1.04; p = 0.0676; I

conclusionRemimazolam did not increase PONV risk compared to propofol and reduced PONV incidence compared to volatile agents, with higher participant satisfaction. To validate the present findings, further well-planned large clinical trials are required.

Indexed as

Anesthesia, GeneralBenzodiazepinesPostoperative Nausea and VomitingPropofolAntiemeticsHumansIncidenceRandomized Controlled Trials as TopicRemifentanilAntiemeticsBenzodiazepinesPropofolRemifentanilremimazolamAntiemeticsBenzodiazepinesPostoperative complicationsPropofolVolatile agents

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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.