Interventions for preventing nausea and vomiting in women undergoing regional anaesthesia for caesarean section.
Acupressure
Adrenal Cortex Hormones
/ therapeutic use
Anesthesia, Conduction
/ adverse effects
Bias
Cesarean Section
Dopamine Antagonists
/ therapeutic use
Elective Surgical Procedures
Female
Humans
Hypnotics and Sedatives
/ therapeutic use
Intraoperative Complications
/ prevention & control
Nausea
/ prevention & control
Postoperative Nausea and Vomiting
/ prevention & control
Pregnancy
Pregnancy Complications
/ prevention & control
Randomized Controlled Trials as Topic
Serotonin Antagonists
/ therapeutic use
Vomiting
/ prevention & control
Journal
The Cochrane database of systematic reviews
ISSN: 1469-493X
Titre abrégé: Cochrane Database Syst Rev
Pays: England
ID NLM: 100909747
Informations de publication
Date de publication:
18 05 2021
18 05 2021
Historique:
entrez:
18
5
2021
pubmed:
19
5
2021
medline:
22
6
2021
Statut:
epublish
Résumé
Nausea and vomiting are distressing symptoms which are experienced commonly during caesarean section under regional anaesthesia and in the postoperative period. OBJECTIVES: To assess the efficacy of pharmacological and non-pharmacological interventions versus placebo or no intervention given prophylactically to prevent nausea and vomiting in women undergoing regional anaesthesia for caesarean section. For this update, we searched Cochrane Pregnancy and Childbirth's Trials Register, ClinicalTrials.gov and the WHO International Clinical Trials Registry Platform (ICTRP) (16 April 2020), and reference lists of retrieved studies. We included randomised controlled trials (RCTs) of studies and conference abstracts, and excluded quasi-RCTs and cross-over studies. Review authors independently assessed the studies for inclusion, assessed risk of bias and carried out data extraction. Our primary outcomes are intraoperative and postoperative nausea and vomiting. Data entry was checked. Two review authors independently assessed the certainty of the evidence using the GRADE approach. Eighty-four studies (involving 10,990 women) met our inclusion criteria. Sixty-nine studies, involving 8928 women, contributed data. Most studies involved women undergoing elective caesarean section. Many studies were small with unclear risk of bias and sometimes few events. The overall certainty of the evidence assessed using GRADE was moderate to very low. 5-HT This review indicates that 5-HT
Sections du résumé
BACKGROUND
Nausea and vomiting are distressing symptoms which are experienced commonly during caesarean section under regional anaesthesia and in the postoperative period. OBJECTIVES: To assess the efficacy of pharmacological and non-pharmacological interventions versus placebo or no intervention given prophylactically to prevent nausea and vomiting in women undergoing regional anaesthesia for caesarean section.
SEARCH METHODS
For this update, we searched Cochrane Pregnancy and Childbirth's Trials Register, ClinicalTrials.gov and the WHO International Clinical Trials Registry Platform (ICTRP) (16 April 2020), and reference lists of retrieved studies.
SELECTION CRITERIA
We included randomised controlled trials (RCTs) of studies and conference abstracts, and excluded quasi-RCTs and cross-over studies.
DATA COLLECTION AND ANALYSIS
Review authors independently assessed the studies for inclusion, assessed risk of bias and carried out data extraction. Our primary outcomes are intraoperative and postoperative nausea and vomiting. Data entry was checked. Two review authors independently assessed the certainty of the evidence using the GRADE approach.
MAIN RESULTS
Eighty-four studies (involving 10,990 women) met our inclusion criteria. Sixty-nine studies, involving 8928 women, contributed data. Most studies involved women undergoing elective caesarean section. Many studies were small with unclear risk of bias and sometimes few events. The overall certainty of the evidence assessed using GRADE was moderate to very low. 5-HT
AUTHORS' CONCLUSIONS
This review indicates that 5-HT
Identifiants
pubmed: 34002866
doi: 10.1002/14651858.CD007579.pub3
pmc: PMC8130052
doi:
Substances chimiques
Adrenal Cortex Hormones
0
Dopamine Antagonists
0
Hypnotics and Sedatives
0
Serotonin Antagonists
0
Banques de données
ClinicalTrials.gov
['NCT00791960', 'NCT01733212', 'NCT01812057', 'NCT03165123', 'NCT02960113', 'NCT00892996', 'NCT03434340', 'NCT00432991', 'NCT02959840', 'NCT00921102', 'NCT02872935', 'NCT01028547']
Types de publication
Journal Article
Meta-Analysis
Research Support, Non-U.S. Gov't
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
CD007579Commentaires et corrections
Type : UpdateOf
Informations de copyright
Copyright © 2021 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.
Références
J Pak Med Assoc. 2009 Nov;59(11):756-9
pubmed: 20361674
Int J Clin Exp Med. 2015 Aug 15;8(8):13776-82
pubmed: 26550325
Br J Anaesth. 2005 Dec;95(6):811-5
pubmed: 16227335
Lancet. 2018 Oct 13;392(10155):1341-1348
pubmed: 30322584
Anesth Pain Med. 2015 Aug 22;5(4):e23565
pubmed: 26473100
Fortschr Med. 1983 Oct 20;101(39):1757-61
pubmed: 6642380
Acta Anaesthesiol Scand. 1989 Oct;33(7):593-6
pubmed: 2683547
Curr Rev Clin Exp Pharmacol. 2021;16(1):117-122
pubmed: 32116199
Eur J Anaesthesiol. 2006 Aug;23(8):670-5
pubmed: 16805932
Rev Esp Anestesiol Reanim. 1997 Aug-Sep;44(7):262-6
pubmed: 9380919
South Med J. 1989 Oct;82(10):1224-7
pubmed: 2678497
Int J Obstet Anesth. 1997 Oct;6(4):231-4
pubmed: 15321259
Anesthesiology. 1989 Oct;71(4):535-40
pubmed: 2679237
Zhonghua Yi Xue Za Zhi. 2012 Jul 17;92(27):1892-5
pubmed: 23134960
J Int Med Res. 1978;6 Suppl 1:26-32
pubmed: 750253
Rom J Anaesth Intensive Care. 2019 Apr;26(1):37-43
pubmed: 31111094
Anesth Analg. 1994 Mar;78(3):474-7
pubmed: 8109762
BMC Anesthesiol. 2019 Sep 14;19(1):177
pubmed: 31521119
Anesth Analg. 2007 Mar;104(3):679-83
pubmed: 17312229
Cochrane Database Syst Rev. 2015 Sep 08;(9):CD007575
pubmed: 26348534
J Obstet Gynaecol India. 2016 Aug;66(4):252-8
pubmed: 27382219
Anesth Analg. 1996 Nov;83(5):982-6
pubmed: 8895272
Acta Med Iran. 2013 Apr 06;51(3):163-7
pubmed: 23605600
J Int Med Res. 2019 Oct;47(10):4798-4807
pubmed: 31452417
Anaesthesia. 2012 May;67(5):521-537
pubmed: 22404311
Br J Clin Pharmacol. 1979 Oct;8(4):391P-392P
pubmed: 41553
J Clin Diagn Res. 2013 Oct;7(10):2247-9
pubmed: 24298488
Anesth Pain Med. 2014 Sep 16;4(4):e19384
pubmed: 25346896
Int J Obstet Anesth. 1998 Jan;7(1):18-22
pubmed: 15321241
Cochrane Database Syst Rev. 2014 Feb 05;(2):CD004943
pubmed: 24497372
Acta Anaesthesiol Scand. 1996 Mar;40(3):372-5
pubmed: 8721471
Can Anaesth Soc J. 1980 Jan;27(1):33-5
pubmed: 7353189
Rev Bras Anestesiol. 2015 Jul-Aug;65(4):244-8
pubmed: 25766243
Acta Anaesthesiol Scand. 1998 Mar;42(3):312-5
pubmed: 9542558
Anesthesiology. 1988 Dec;69(6):1013-7
pubmed: 3195744
Anaesthesia. 1993 Feb;48(2):114-9
pubmed: 8460756
Anesth Pain Med. 2017 Aug 27;7(5):e12738
pubmed: 29696107
Minerva Anestesiol. 2007 Dec;73(12):629-33
pubmed: 18046293
Rev Bras Anestesiol. 2009 Sep-Oct;59(5):558-69
pubmed: 19784511
Anesth Analg. 1983 Jul;62(7):673-8
pubmed: 6859571
Anesth Analg. 1993 Jan;76(1):156-61
pubmed: 8418717
Open Access Maced J Med Sci. 2019 Oct 15;7(23):3979-3983
pubmed: 32165939
Med J Malaysia. 1991 Dec;46(4):349-55
pubmed: 1840444
Anaesthesia. 1997 Sep;52(9):908-13
pubmed: 9349079
Anesth Analg. 2009 Jul;109(1):174-82
pubmed: 19535708
Anaesthesiol Reanim. 1994;19(2):37-42
pubmed: 8185742
Int J Obstet Anesth. 1992 Jan;1(2):65-8
pubmed: 15636801
J Perinat Med. 1985;13(4):179-83
pubmed: 4057034
Eur J Anaesthesiol. 2013 Mar;30(3):102-5
pubmed: 23022704
J Int Med Res. 2018 Feb;46(2):654-662
pubmed: 28856920
Methods Find Exp Clin Pharmacol. 2005 Sep;27(7):489-93
pubmed: 16258594
Anesth Pain Med. 2016 Aug 15;6(5):e38943
pubmed: 27847700
Anesth Essays Res. 2018 Apr-Jun;12(2):322-327
pubmed: 29962591
Br J Anaesth. 2001 Mar;86(3):372-6
pubmed: 11573527
Br J Anaesth. 2003 May;90(5):665-70
pubmed: 12697596
Minerva Anestesiol. 2019 Mar;85(3):255-262
pubmed: 29856176
Anesth Analg. 1998 Aug;87(2):341-6
pubmed: 9706928
Br J Anaesth. 2000 Dec;85(6):865-8
pubmed: 11732521
Br J Anaesth. 2000 Apr;84(4):463-7
pubmed: 10823097
Anaesthesia. 1996 May;51(5):415-21
pubmed: 8694150
J Anesth. 2011 Oct;25(5):692-7
pubmed: 21789702
Afr Health Sci. 2013 Jun;13(2):475-82
pubmed: 24235952
Lancet. 1966 Feb 5;1(7432):288-91
pubmed: 4158895
J Anesth. 2015 Oct;29(5):702-7
pubmed: 25812804
Anaesthesia. 1990 Jul;45(7):527-30
pubmed: 2386275
Obstet Gynecol. 2002 Jan;99(1):75-9
pubmed: 11777514
Acta Anaesthesiol Scand. 2013 Apr;57(4):535
pubmed: 23599937
Anesth Analg. 2002 Jul;95(1):209-13, table of contents
pubmed: 12088970
Anesth Analg. 2007 Sep;105(3):764-9
pubmed: 17717237
Med Sci Monit. 2013 Nov 14;19:993-1000
pubmed: 24226381
J Clin Anesth. 2003 Sep;15(6):423-7
pubmed: 14652118
Anesthesiology. 2001 Aug;95(2):307-13
pubmed: 11506099
Drugs. 1998 Oct;56(4):523-35
pubmed: 9806101
Eur J Anaesthesiol. 2002 Jan;19(1):63-8
pubmed: 11915786
J Obstet Gynaecol India. 2012 Aug;62(4):419-23
pubmed: 23904702
Anesthesiology. 1989 Nov;71(5):675-8
pubmed: 2817461
Ann Fr Anesth Reanim. 1989;8(1):12-8
pubmed: 2712403
J Clin Anesth. 2001 Sep;13(6):430-5
pubmed: 11578887
Am J Obstet Gynecol. 1994 Sep;171(3):734-9
pubmed: 8092223
Acta Obstet Gynecol Scand. 2007;86(6):683-7
pubmed: 17520399
Med Gas Res. 2018 Jul 03;8(2):48-53
pubmed: 30112165
Anesth Analg. 2006 Feb;102(2):581-4
pubmed: 16428565
J Anesth. 2018 Oct;32(5):748-755
pubmed: 30209576
Int J Obstet Anesth. 2007 Apr;16(2):122-7
pubmed: 17275282
J Clin Anesth. 2013 Jun;25(4):353
pubmed: 24063031
Afr Health Sci. 2014 Jun;14(2):453-9
pubmed: 25320597
Anesth Analg. 1982 Oct;61(10):839-42
pubmed: 7125249
Anaesthesia. 1998 Jul;53(7):706-10
pubmed: 9771182
J Obstet Gynaecol India. 2015 Feb;65(1):28-33
pubmed: 25737619
AANA J. 2001 Jun;69(3):199-205
pubmed: 11759562
Anesth Essays Res. 2015 Sep-Dec;9(3):401-4
pubmed: 26712982
Anesth Analg. 1997 Dec;85(6):1288-93
pubmed: 9390596
Anesth Analg. 2000 Feb;90(2):324-7
pubmed: 10648315
Acta Obstet Gynecol Scand. 1983;62(2):157-9
pubmed: 6346782
Br J Anaesth. 1999 Feb;82(2):277-9
pubmed: 10365009
Cochrane Database Syst Rev. 2012 Sep 12;(9):CD007579
pubmed: 22972112
Int J Gynaecol Obstet. 2012 Feb;116(2):158-61
pubmed: 22036059
Obstet Gynecol. 2012 Jun;119(6):1106-11
pubmed: 22617574
Acta Anaesthesiol Scand. 1990 Jan;34(1):8-16
pubmed: 2309548
Br J Anaesth. 2002 Sep;89(3):452-8
pubmed: 12402725
Clin Ther. 2004 Aug;26(8):1286-91
pubmed: 15476909
Can Anaesth Soc J. 1983 Sep;30(5):487-92
pubmed: 6354385
Reg Anesth Pain Med. 2006 May-Jun;31(3):221-6
pubmed: 16701187
J Am Osteopath Assoc. 1983 Jul;82(11):858-60
pubmed: 6885536
Cochrane Database Syst Rev. 2017 Aug 04;8:CD002251
pubmed: 28976555
Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 2012 Feb;34(1):32-7
pubmed: 22737716
Int J Obstet Anesth. 2005 Jul;14(3):230-41
pubmed: 15935649
Jugosl Ginekol Opstet. 1979 Sep-Dec;19(5-6):307-11
pubmed: 399787
Iran J Med Sci. 2011 Sep;36(3):183-7
pubmed: 23357939
Anesth Analg. 2003 Jul;97(1):62-71, table of contents
pubmed: 12818945
Di Yi Jun Yi Da Xue Xue Bao. 2002 Nov;22(11):1037-8
pubmed: 12433644
Anesth Analg. 2006 Mar;102(3):900-3
pubmed: 16492848
Anesth Analg. 2020 Aug;131(2):411-448
pubmed: 32467512
Anaesthesia. 1981 Feb;36(2):167-72
pubmed: 7212225
J Indian Med Assoc. 2001 Dec;99(12):683-4, 686
pubmed: 12022217
Br J Anaesth. 1989 Jan;62(1):87-91
pubmed: 2917116
J Clin Anesth. 2002 May;14(3):183-6
pubmed: 12031749
Anesth Essays Res. 2017 Apr-Jun;11(2):508-513
pubmed: 28663651
Anaesth Intensive Care. 2000 Jun;28(3):262-5
pubmed: 10853206
Br J Anaesth. 2004 Apr;92(4):469-74
pubmed: 14977792
Am Fam Physician. 2004 Mar 1;69(5):1169-74
pubmed: 15023018
Obstet Gynecol. 2013 Mar;121(3):615-623
pubmed: 23635626
Anesth Analg. 1994 Jun;78(6):1093-8
pubmed: 8198263
Anesth Analg. 1997 Feb;84(2):342-5
pubmed: 9024025
Anaesth Intensive Care. 2013 Mar;41(2):275
pubmed: 23577374
Br J Anaesth. 1988 Dec;61(6):720-9
pubmed: 3207544
J Holist Nurs. 2012 Jun;30(2):90-104; quiz 105-6
pubmed: 22034523
Anesthesiology. 1984 Nov;61(5):604-7
pubmed: 6497001
Br J Anaesth. 1990 Apr;64(4):503-6
pubmed: 2334627
Minerva Anestesiol. 1992 Mar;58(3):95-9
pubmed: 1589080
Anaesth Intensive Care. 1992 Nov;20(4):448-52
pubmed: 1340780
J Int Med Res. 2010 Sep-Oct;38(5):1626-36
pubmed: 21309476
BMJ. 2010 Oct 06;341:c5065
pubmed: 20926490
Iran J Med Sci. 2015 Jul;40(4):302-8
pubmed: 26170515
Br J Anaesth. 1984 Apr;56(4):355-62
pubmed: 6324832
Can J Anaesth. 2020 Jul;67(7):817-826
pubmed: 31989472
BMC Anesthesiol. 2015 Feb 17;15:18
pubmed: 25971957
Br J Anaesth. 1989 Apr;62(4):397-401
pubmed: 2706175
Minerva Anestesiol. 2011 Aug;77(8):781-8
pubmed: 21730925
Anesth Analg. 1984 Jan;63(1):85-7
pubmed: 6691570
Acta Anaesthesiol Scand. 1984 Jun;28(3):301-4
pubmed: 6741445
Br J Obstet Gynaecol. 1980 Jul;87(7):565-70
pubmed: 7426509
Complement Ther Clin Pract. 2017 Aug;28:101-107
pubmed: 28779916
Obstet Gynecol. 2013 Jun;121(6):1362
pubmed: 23812478
Anesth Analg. 2000 May;90(5):1162-6
pubmed: 10781472
Anaesthesia. 1980 Jul 7;35(7):641-50
pubmed: 7435931
Reg Anesth. 1992 May-Jun;17(3):126-30
pubmed: 1606094
Acta Anaesthesiol Scand. 1998 Sep;42(8):921-5
pubmed: 9773135
Cochrane Database Syst Rev. 2018 Sep 28;9:CD005528
pubmed: 30264405
J Anesth. 2001;15(2):69-73
pubmed: 14566525
Anesthesiology. 1983 Aug;59(2):86-90
pubmed: 6869899
J Perianesth Nurs. 2005 Jun;20(3):200-5
pubmed: 15933967
Anaesthesia. 1985 Mar;40(3):246-53
pubmed: 2986474
Turk J Anaesthesiol Reanim. 2019 Apr;47(2):120-127
pubmed: 31080953
Anesth Analg. 2008 Oct;107(4):1308-12
pubmed: 18806045
Acta Anaesthesiol Scand. 2013 Apr;57(4):537
pubmed: 23599939
Anesth Pain Med. 2020 Feb 12;10(1):e99094
pubmed: 32309198
Nurse Anesth. 1991 Sep;2(3):126-33
pubmed: 1888787
Br J Anaesth. 1974 Jul;46(7):526-9
pubmed: 4477482
Zhongguo Zhen Jiu. 2015 Oct;35(10):1039-43
pubmed: 26790216
Anesthesiology. 1976 Oct;45(4):462-5
pubmed: 788555
Anesthesiology. 1987 Apr;66(4):563-6
pubmed: 3565827
Br J Obstet Gynaecol. 1999 Sep;106(9):913-6
pubmed: 10492101
Indian J Med Res. 1987 Mar;85:306-10
pubmed: 3038744
Sci Rep. 2018 May 1;8(1):6835
pubmed: 29717175
Anesth Analg. 1998 Mar;86(3):532-7
pubmed: 9495408
Can J Anaesth. 2018 Mar;65(3):254-262
pubmed: 29209926
Br J Anaesth. 1984 Oct;56(10):1113-6
pubmed: 6477792
Anesth Analg. 2003 Jun;96(6):1789-1793
pubmed: 12761013
Anesth Analg. 2004 Mar;98(3):815-21, table of contents
pubmed: 14980943
Int J Obstet Anesth. 1994 Jan;3(1):20-4
pubmed: 15636905
Can J Anaesth. 2001 Feb;48(2):185-90
pubmed: 11220429
Kaohsiung J Med Sci. 2005 Aug;21(8):341-50
pubmed: 16158876
Anesthesiology. 1982 Jan;56(1):68-70
pubmed: 7053676
Anesth Analg. 1999 Jun;88(6):1346-50
pubmed: 10357343
Can J Anaesth. 1995 Sep;42(9):797-800
pubmed: 7497561
Anesth Analg. 1985 Jan;64(1):34-7
pubmed: 3966649
Anesthesiology. 2002 Dec;97(6):1582-90
pubmed: 12459688
Can Anaesth Soc J. 1982 Jan;29(1):27-30
pubmed: 7055741
J Anesth. 2011 Oct;25(5):698-703
pubmed: 21761206
Eur J Anaesthesiol. 2019 Aug;36(8):575-582
pubmed: 31274545
J Obstet Gynaecol Res. 2016 May;42(5):519-25
pubmed: 26924011
Acta Anaesthesiol Sin. 1996 Dec;34(4):179-84
pubmed: 9084544
Anesth Essays Res. 2015 Sep-Dec;9(3):348-52
pubmed: 26712972
Can J Anaesth. 2006 Aug;53(8):776-80
pubmed: 16873344
Int J Obstet Anesth. 2016 Aug;27:25-31
pubmed: 27020487
Anesth Analg. 2000 Jun;90(6):1390-5
pubmed: 10825326
Br J Anaesth. 2001 Sep;87(3):502-4
pubmed: 11517140
Minerva Anestesiol. 1990 Dec;56(12):1447-50
pubmed: 2100324
Reg Anesth. 1995 Sep-Oct;20(5):389-94
pubmed: 8519715
Anaesthesia. 1989 Sep;44(9):739-41
pubmed: 2802120
Br J Anaesth. 2012 Mar;108(3):374-83
pubmed: 22307240
Med J Malaysia. 1992 Mar;47(1):27-30
pubmed: 1387445
Int J Obstet Anesth. 2012 Jan;21(1):24-8
pubmed: 22100822
Adv Biomed Res. 2015 Oct 09;4:230
pubmed: 26623405
Anaesthesia. 1999 May;54(5):479-82
pubmed: 10995148
Int J Obstet Anesth. 1998 Oct;7(4):231-6
pubmed: 15321185
Middle East J Anaesthesiol. 1995 Jun;13(2):205-11
pubmed: 7476742
Int J Gynaecol Obstet. 2016 Nov;135(2):205-209
pubmed: 27578231
Eur J Obstet Gynecol Reprod Biol. 2013 Jul;169(2):184-8
pubmed: 23510951
Anaesthesia. 1992 Feb;47(2):101-4
pubmed: 1539776
S Afr Med J. 1979 Nov 17;56(21):827-9
pubmed: 388678
Anaesthesia. 1988 Feb;43(2):93-5
pubmed: 2895594
Anesthesiol Res Pract. 2015;2015:158061
pubmed: 25648106
Adv Biomed Res. 2012;1:2
pubmed: 23210061
Facts Views Vis Obgyn. 2018 Sep;10(3):131-137
pubmed: 31191847
Ann Fr Anesth Reanim. 2010 Feb;29(2):113-6
pubmed: 20117912
Anesth Analg. 2007 Oct;105(4):1113-7, table of contents
pubmed: 17898396