Ramosetron for the prevention of postoperative nausea and vomiting (PONV): a meta-analysis
BackgroundPostoperative nausea and vomiting (PONV) remains a challenge for patients and health professionals despite various newly developed prophylactic interventions. We reviewed the efficacy and safety of ramosetron in randomized controlled trials (RCTs) for the prevention of PONV.MethodsWe revie...
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| Format: | Article |
| Language: | English |
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Korean Society of Anesthesiologists
2011-11-01
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| Series: | Korean Journal of Anesthesiology |
| Subjects: | |
| Online Access: | http://ekja.org/upload/pdf/kjae-61-405.pdf |
| _version_ | 1818341496139546624 |
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| author | Won Oak Kim Bon Nyeo Koo Yong Kook Kim Hae Keum Kil |
| author_facet | Won Oak Kim Bon Nyeo Koo Yong Kook Kim Hae Keum Kil |
| author_sort | Won Oak Kim |
| collection | DOAJ |
| description | BackgroundPostoperative nausea and vomiting (PONV) remains a challenge for patients and health professionals despite various newly developed prophylactic interventions. We reviewed the efficacy and safety of ramosetron in randomized controlled trials (RCTs) for the prevention of PONV.MethodsWe reviewed 18 randomized controlled trials investigating the efficacy and safety of ramosetron in comparison with placebo or any other drugs. Relevant studies were searched in the MEDLINE, SCOPUS, and the Cochrane database libraries. Our end points of concern were prevention of PONV and adverse effects as dichotomous data.ResultsThe prophylactic effect of 0.3 mg ramosetron was observed in early PON (relative risk, RR: 0.4; 95% CI 0.3-0.6), early POV (RR: 0.3; 95% CI 0.1-0.6), late POV (RR: 0.3; 95% CI 0.1-0.6), but not late PON (RR: 0.7; 95% CI 0.5-1.0). Compared with placebo, the efficacy of 0.3 mg ramosetron in adults and 6 µg/kg in children were consistently beneficial in preventing PONV overall (RR: 0.4; 95% CI: 03-0.6). The effects of 0.3 mg ramosetron and 3 mg granisetron were similar. No serious side effects or adverse events resulted from ramosetron and other active drugs, and incidence was similar to those of the placebo group.ConclusionsRamosetron is effective and safe in children and adults without serious adverse effects compared with placebo or other active drugs, as shown in pooled data of RCTs, in terms of the prevention of PONV. |
| first_indexed | 2024-12-13T15:59:43Z |
| format | Article |
| id | doaj.art-9c1af5192dd4456a8ea0b2ddede3fff3 |
| institution | Directory Open Access Journal |
| issn | 2005-6419 2005-7563 |
| language | English |
| last_indexed | 2024-12-13T15:59:43Z |
| publishDate | 2011-11-01 |
| publisher | Korean Society of Anesthesiologists |
| record_format | Article |
| series | Korean Journal of Anesthesiology |
| spelling | doaj.art-9c1af5192dd4456a8ea0b2ddede3fff32022-12-21T23:39:13ZengKorean Society of AnesthesiologistsKorean Journal of Anesthesiology2005-64192005-75632011-11-0161540541210.4097/kjae.2011.61.5.4057224Ramosetron for the prevention of postoperative nausea and vomiting (PONV): a meta-analysisWon Oak Kim0Bon Nyeo Koo1Yong Kook Kim2Hae Keum Kil3Department of Anesthesiology and Pain Medicine, Anesthesia and Pain Research Institute, Yonsei University College of Medicine, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Anesthesia and Pain Research Institute, Yonsei University College of Medicine, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Anesthesia and Pain Research Institute, Yonsei University College of Medicine, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Anesthesia and Pain Research Institute, Yonsei University College of Medicine, Seoul, Korea.BackgroundPostoperative nausea and vomiting (PONV) remains a challenge for patients and health professionals despite various newly developed prophylactic interventions. We reviewed the efficacy and safety of ramosetron in randomized controlled trials (RCTs) for the prevention of PONV.MethodsWe reviewed 18 randomized controlled trials investigating the efficacy and safety of ramosetron in comparison with placebo or any other drugs. Relevant studies were searched in the MEDLINE, SCOPUS, and the Cochrane database libraries. Our end points of concern were prevention of PONV and adverse effects as dichotomous data.ResultsThe prophylactic effect of 0.3 mg ramosetron was observed in early PON (relative risk, RR: 0.4; 95% CI 0.3-0.6), early POV (RR: 0.3; 95% CI 0.1-0.6), late POV (RR: 0.3; 95% CI 0.1-0.6), but not late PON (RR: 0.7; 95% CI 0.5-1.0). Compared with placebo, the efficacy of 0.3 mg ramosetron in adults and 6 µg/kg in children were consistently beneficial in preventing PONV overall (RR: 0.4; 95% CI: 03-0.6). The effects of 0.3 mg ramosetron and 3 mg granisetron were similar. No serious side effects or adverse events resulted from ramosetron and other active drugs, and incidence was similar to those of the placebo group.ConclusionsRamosetron is effective and safe in children and adults without serious adverse effects compared with placebo or other active drugs, as shown in pooled data of RCTs, in terms of the prevention of PONV.http://ekja.org/upload/pdf/kjae-61-405.pdfantiemeticsmeta-analysisponvramosetron |
| spellingShingle | Won Oak Kim Bon Nyeo Koo Yong Kook Kim Hae Keum Kil Ramosetron for the prevention of postoperative nausea and vomiting (PONV): a meta-analysis Korean Journal of Anesthesiology antiemetics meta-analysis ponv ramosetron |
| title | Ramosetron for the prevention of postoperative nausea and vomiting (PONV): a meta-analysis |
| title_full | Ramosetron for the prevention of postoperative nausea and vomiting (PONV): a meta-analysis |
| title_fullStr | Ramosetron for the prevention of postoperative nausea and vomiting (PONV): a meta-analysis |
| title_full_unstemmed | Ramosetron for the prevention of postoperative nausea and vomiting (PONV): a meta-analysis |
| title_short | Ramosetron for the prevention of postoperative nausea and vomiting (PONV): a meta-analysis |
| title_sort | ramosetron for the prevention of postoperative nausea and vomiting ponv a meta analysis |
| topic | antiemetics meta-analysis ponv ramosetron |
| url | http://ekja.org/upload/pdf/kjae-61-405.pdf |
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