Post-operative nausea and vomiting prophylaxis: A meta-review on systematic reviews and meta-analyses
| Autor: | Joaquín Octavio Ruiz-Villa, Luis Felipe Echeverri-Cataño, Juan Camilo Tocora-Rodríguez |
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| Jazyk: | English<br />Spanish; Castilian |
| Rok vydání: | 2023 |
| Předmět: | |
| Zdroj: | Colombian Journal of Anesthesiology, Vol 51, Iss 4 (2023) |
| Druh dokumentu: | article |
| ISSN: | 2422-0248 2256-2087 22562087 |
| DOI: | 10.5554/22562087.e1086 |
| Popis: | Introduction: Postoperative nausea and vomiting (PONV) are common complications in surgical patients undergoing general anesthesia, and multiple strategies have been suggested to prevent them. Objective: To describe the available evidence on the effectiveness of pharmacological and non-pharmacological strategies for preventing PONV in adults undergoing surgery under general anesthesia, as reported in previous meta-analyses and systematic reviews. Methodology: An overview of systematic reviews and meta-analyses was conducted. Searches were performed in PubMed, EBSCO, EMBASE, Cochrane Database, Science Direct, and Scopus, without restrictions as to gender, clinical condition, or date of publication, including articles in Spanish, French, and English only. Two reviewers independently and in duplicate did the screening, data extraction, quality evaluation, and risk of bias assessment according to AMSTAR-2. The PRISMA and PRIOR statements were followed for reporting. PROSPERO registration number CRD42021251999. Results: Out of 80 candidate articles, three were viable for meta-analysis. 1.5 mg to 18 mg doses of Dexamethasone showed a significant reduction in the risk of PONV, with a RR of 0.48 (95 % CI 0.41-0.57; p |
| Databáze: | Directory of Open Access Journals |
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