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. 2020 Oct 19;2020(10):CD012859. doi: 10.1002/14651858.CD012859.pub2

Guldogus 1994.

Study characteristics
Methods Study design: randomized controlled trial
Study grouping: 4 groups, monoprophylaxis and combination prophylaxis
Participants Baseline characteristics
Ondansetron
  • Assessed for eligibility (n): ‐

  • Enrolled (n): ‐

  • Randomized (n): 15

  • Received treatment (n): NA

  • Analysed (n): 15

  • Age (mean ± SD, median (IQR), median (range)): 42.8 ± 1.5

  • Weight (mean ± SD, median (IQR), median (range)): 72.4 ± 3.3

  • BMI (mean ± SD, median (IQR), median (range)): NA

  • ASA I/II/III/IV (n): NA/NA/0/0

  • Gender (female in %): 100

  • Non‐smoker (%): NA

  • History of PONV/motion sickness (%): NA

  • Type of general anaesthesia: inhalational anaesthesia (N₂O, isoflurane)

  • Duration of anaesthesia or surgery (in min; as mean or median): 101.3

  • Use of perioperative opioids (if yes, which?): NA

  • Type of surgery: major gynaecological surgery


Droperidol
  • Assessed for eligibility (n): ‐

  • Enrolled (n): ‐

  • Randomized (n): 15

  • Received treatment (n): NA

  • Analysed (n): 15

  • Age (mean ± SD, median (IQR), median (range)): 44.8 ± 1.4

  • Weight (mean ± SD, median (IQR), median (range)): 73.5 ± 2.8

  • BMI (mean ± SD, median (IQR), median (range)): NA

  • ASA I/II/III/IV (n): NA/NA/0/0

  • Gender (female in %): 100

  • Non‐smoker (%): NA

  • History of PONV/motion sickness (%): NA

  • Type of general anaesthesia: inhalational anaesthesia (N₂O, isoflurane)

  • Duration of anaesthesia or surgery (in min; as mean or median): 105.6

  • Use of perioperative opioids (if yes, which?): NA

  • Type of surgery: major gynaecological surgery


Ondansetron + droperidol
  • Assessed for eligibility (n): ‐

  • Enrolled (n): ‐

  • Randomized (n): 13

  • Received treatment (n): NA

  • Analysed (n): 13

  • Age (mean ± SD, median (IQR), median (range)): 44.2 ± 1.8

  • Weight (mean ± SD, median (IQR), median (range)): 73.6 ± 3.34

  • BMI (mean ± SD, median (IQR), median (range)): NA

  • ASA I/II/III/IV (n): NA/NA/0/0

  • Gender (female in %): 100

  • Non‐smoker (%): NA

  • History of PONV/motion sickness (%): NA

  • Type of general anaesthesia: inhalational anaesthesia (N₂O, isoflurane)

  • Duration of anaesthesia or surgery (in min; as mean or median): 109.4

  • Use of perioperative opioids (if yes, which?): NA

  • Type of surgery: major gynaecological surgery


Placebo
  • Assessed for eligibility (n): ‐

  • Enrolled (n): ‐

  • Randomized (n): 15

  • Received treatment (n): NA

  • Analysed (n): 15

  • Age (mean ± SD, median (IQR), median (range)): 41.3 ± 0

  • Weight (mean ± SD, median (IQR), median (range)): 75.3 ± 0

  • BMI (mean ± SD, median (IQR), median (range)): NA

  • ASA I/II/III/IV (n): NA/NA/0/0

  • Gender (female in %): 100

  • Non‐smoker (%): NA

  • History of PONV/motion sickness (%): NA

  • Type of general anaesthesia: inhalational anaesthesia (N₂O, isoflurane)

  • Duration of anaesthesia or surgery (in min; as mean or median): 104.3

  • Use of perioperative opioids (if yes, which?): NA

  • Type of surgery: major gynaecological surgery


Included criteria: ASA I or II, women undergoing major gynaecological surgery
Excluded criteria: NA
Pretreatment: baseline characteristics (age, weight, ASA): no. Potential effect modifiers (gender, duration of anaesthesia): no; (history of PONV/motion sickness, non‐smoker, perioperative opioids): unclear
Interventions Intervention characteristics
Ondansetron
  • Dose: 8 mg

  • Time point of administration: 5 minutes before induction of anaesthesia

  • Route of administration: IV

  • Rescue antiemetics (if yes, which?): NA


Droperidol
  • Dose: 5 mg

  • Time point of administration: 5 minutes before induction of anaesthesia

  • Route of administration: IV

  • Rescue antiemetics (if yes, which?): NA


Ondansetron + droperidol
  • Dose: ondansetron 4 mg, droperidol 5 mg

  • Time point of administration: 5 minutes before induction of anaesthesia

  • Route of administration: IV

  • Rescue antiemetics (if yes, which?): NA


Placebo
  • Dose: saline

  • Time point of administration: 5 minutes before induction of anaesthesia

  • Route of administration: IV

  • Rescue antiemetics (if yes, which?): NA

Outcomes Vomiting (0 to 24 hours)
  • Outcome type: dichotomous outcome


Vomiting (6 to 24 hours)
  • Outcome type: dichotomous outcome


Nausea (0 to 24 hours)
  • Outcome type: dichotomous outcome

Identification Sponsorship source: NA
Country: Turkey
Setting: inpatient, single‐centre
Author's name: Fuat Güldogus
Institution: NA
Email: NA
Address: NA
Duration of study: NA
Language: Turkish (translated by Emine Yesil)
Study's primary outcome: NA
Trial registry number: NA
Notes None
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Judgement comment: quote: "randomized" (translated). No further information on sequence generation provided
Allocation concealment (selection bias) Unclear risk Judgement comment: no statement
Blinding of participants and personnel (performance bias)
All outcomes Unclear risk Judgement comment: quote: "double‐blind" (translated). Insufficient information on blinding
Blinding of outcome assessment (detection bias)
All outcomes Unclear risk Judgement comment: quote: "double‐blind" (translated). Insufficient information on blinding
Incomplete outcome data (attrition bias)
All outcomes Low risk Judgement comment: no statement on missing outcome data; no missing outcome data assumed
Selective reporting (reporting bias) Unclear risk Judgement comment: no reference to a study protocol or trial registry number reported
Other bias Unclear risk Judgement comment: baseline characteristics (age, weight, ASA): no. Potential effect modifiers (gender, duration of anaesthesia): no; (history of PONV/motion sickness, non‐smoker, perioperative opioids): unclear