Yoo 2012a.
Methods | Single‐centre, 2‐arm RCT Setting: University College of Medicine (Hospital) Country: Korea Groups: TIVA with propofol vs desflurane Period: November 2010‐ May 2011 |
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Participants |
Number: 62 Surgery: robotic‐assisted laparoscopic radical prostatectomy ‐ urology Included: male between 50 and 70 years of age with ASA I or II Excluded: history of motion sickness/PONV, use of antiemetics 24 hours before surgery, regular use of corticosteroids, chemotherapy within 4 weeks, radiotherapy within 8 weeks, hepatic dysfunction, confirmed renal impairment or obesity (BMI > 35 kg/m2) |
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Interventions | TIVA with propofol and remifentanil and antiemetic prophylaxis (n = 31) vs desflurane and remifentanil and antiemetic prophylaxis (n = 31) Procedure: robotic assisted laparoscopic radical prostatectomy |
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Outcomes |
Incidence of nausea: reported Incidence of retching: reported Incidence of vomiting: reported Use of antiemetics: reported Severity of PONV: reported Intensity of pain ‐ VAS: reported Use of rescue analgesics: reported |
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Notes | A third arm with patients treated with TIVA without antiemetic prophylaxis not reported in the paper but reported in the online protocol (Bai 2011) Conclusion: TIVA with propofol reduced incidence and severity of PONV compared with desflurane in patients with low risk of PONV after RALRP until 6 hours after surgery Letter asking for further information on this study sent 2015 September 16. No reply Funding: faculty research grant of Yonsei University College of Medicine for 2007 (6‐2007‐0190) Conflict of Interest: none |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Computer‐generated random numbers |
Allocation concealment (selection bias) | Low risk | A physician outside the trial performed randomization and assignment |
Blinding of participants and personnel (performance bias) All outcomes | Unclear risk | Participants presumed blinded |
Blinding of outcome assessment (detection bias) All outcomes | Low risk | Outcome assessor blinded |
Incomplete outcome data (attrition bias) All outcomes | Low risk | No dropout of participants |
Selective reporting (reporting bias) | Low risk | All predefined outcomes reported |
Other bias | Unclear risk | A third arm with patients treated with TIVA without antiemetic prophylaxis not reported in the paper but reported in the online protocol |