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. 2021 May 18;2021(5):CD007579. doi: 10.1002/14651858.CD007579.pub3

Khalayleh 2005.

Study characteristics
Methods RCT
Participants Incluson criteria:
  • Women having elective CS under spinal anaesthesia

  • N = 150 women randomised, 147 were analysed but we only used data from 2 groups so we analysed data on 98 women


Excluson criteria:
Interventions Intervention 1: opioid ‐ excluded from the review
  • Fentanyl ‐ 20 mcg IT ‐ not included in this review because it is an opioid

  • N = 49


Intervention 2: dopamine antagonist (Comparison 2)
  • Metoclopramide 10 mg IV

  • N = 48


Comparator: placebo
  • saline

  • N = 50

Outcomes intraoperative and PONV, rescue droperidol
Notes Setting: Iran
Dates: Jan 2002‐Dec 2003
Funding source: not reported
Declaration of Interest: not reported
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Random number table
Allocation concealment (selection bias) Unclear risk Not described
Blinding of participants and personnel (performance bias)
All outcomes Unclear risk As above
Blinding of outcome assessment (detection bias)
All outcomes Low risk Quote: "intraoperative and post operative emetic episodes were recorded by doctor who had no knowledge of which study drug the patient had received"
Incomplete outcome data (attrition bias)
All outcomes Low risk 3 patients lost out of 150
Selective reporting (reporting bias) Unclear risk They report no side effects in results (but do not specify which side effects), also do not mention side effects in the methods
Other bias Unclear risk The fact the timing of the interventions are not clear in the Methods raises the risk of other biases