Evidence map›Paper›PMID 39885403›Full record

ArticleBMC anesthesiology2025

Effect of intraoperative noise isolation on postoperative nausea and vomiting in patients undergoing gynecological laparoscopic surgery: protocol for a randomized controlled trial.

Chong Fu, Fan Xia, Zihan Yan, Han-Bing Xu, Wei-Ming Zhao, Yi-Shan Lei, Chang Xu, Wen-Wen Huo, Duo-Duo Tao, Juan Wang and 5 more

Abstract readClinical Trial Protocol
In one paragraph

Article in BMC anesthesiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

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

  1. Trial
  2. Article
  3. Review
  4. Article
  5. Article
  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

15 authors.

Chong Fu *Department of Anesthesiology, First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China.
Fan Xia *Department of Anesthesiology, First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China.
Zihan Yan *Suzhou Medical College, Soochow University, Suzhou, Jiangsu, China.
Han-Bing XuDepartment of Anesthesiology, First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China.
Wei-Ming ZhaoDepartment of Anesthesiology, First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China.
Yi-Shan LeiDepartment of Anesthesiology, First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China.
Chang XuDepartment of Anesthesiology, First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China.
Wen-Wen HuoDepartment of Anesthesiology, First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China.
Duo-Duo TaoDepartment of Ear, Nose, and Throat, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China.
Juan WangDepartment of Obstetrics and Gynecology, the First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China.
Xi-Sheng ShanDepartment of Anesthesiology, First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China.
Ke PengDepartment of Anesthesiology, First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China.
Hong LiuDepartment of Anesthesiology and Pain Medicine, University of California Davis Health, Sacramento, CA, USA.
Fu-Hai JiDepartment of Anesthesiology, First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China. jifuhaisuda@163.com.
Hua-Yue LiuDepartment of Anesthesiology, First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China. docliu.hy@163.com.

Funding

Extracurricular Academic Research Fund for Undergraduates, Soochow University KY2024257BKey Medical Research Projects in Jiangsu Province ZD2022021National Natural Science Foundation of China 82072130National Natural Science Foundation of China 82301387National Natural Science Foundation of China 82302456Suzhou Clinical Medical Center for Anesthesiology Szlcyxzxj202102Undergraduate Training Program for Innovation and Entrepreneurship, Soochow University 2024C033
6 · The paper itself

Abstract

backgroundPostoperative nausea and vomiting (PONV) are common complications following general anesthesia, particularly in gynecological laparoscopic surgeries. This study aims to evaluate the effect of intraoperative noise isolation on PONV incidence.

methodThis single-center, prospective, randomized controlled trial will enroll 192 adult patients undergoing laparoscopic gynecological surgery. Patients will be randomly assigned in a 1:1 ratio and stratified by age into either the control group (Group C), without noise-cancelling headphones, or a noise reduction group (Group NR), using noise-cancelling headphones from anesthesia induction until the end of surgery. All patients will receive intraoperative dexamethasone and ondansetron prophylaxis. The primary outcome is the incidence of PONV within 48 h post-surgery. Secondary outcomes include PONV severity at 24 and 48 h, antiemetic use, pain scores, need for rescue analgesia, Quality of Recovery-15 (QoR-15) scores, Richards-Campbell Sleep Questionnaire (RCSQ) scores, hemodynamic interventions, extubation time, length of stay in PACU and hospital, adverse events (hypertension, hypotension, bradycardia, tachycardia, desaturation after extubation, postoperative shivering, emergence agitation, allergic reactions, severe arrhythmias arrhythmia, cardiac arrest, hypothermia), patient satisfaction, and postoperative complications based on the Postoperative Morbidity Survey (POMS). Analyses will be conducted using modified intention-to-treat (mITT) and per-protocol (PP) populations. DISCUSSION: We hypothesize that intraoperative use of noise-cancelling headphones will reduce PONV incidence in patients undergoing gynecological laparoscopic surgery. The findings could enhance postoperative care protocols for thoracoscopic gynecological procedures.

trial registrationChinese Clinical Trial Registry (ChiCTR2400087460).

Indexed as

Gynecologic Surgical ProceduresLaparoscopyNoisePostoperative Nausea and VomitingAdultAntiemeticsDexamethasoneFemaleHumansMiddle AgedOndansetronProspective StudiesRandomized Controlled Trials as TopicYoung AdultAntiemeticsDexamethasoneOndansetronGynecological laparoscopic surgeryNoise isolationPostoperative nausea and vomitingPostoperative outcomes

Identifiers

PMID39885403
PMCPMC11780904

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.