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Ramosetron for the prevention of postoperative nausea and vomiting (PONV): a meta-analysis

Authors :
Won Oak Kim
Bon Nyeo Koo
Yong Kook Kim
Hae Keum Kil
Source :
Korean Journal of Anesthesiology, Vol 61, Iss 5, Pp 405-412 (2011)
Publication Year :
2011
Publisher :
Korean Society of Anesthesiologists, 2011.

Abstract

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.

Details

Language :
English
ISSN :
20056419 and 20057563
Volume :
61
Issue :
5
Database :
Directory of Open Access Journals
Journal :
Korean Journal of Anesthesiology
Publication Type :
Academic Journal
Accession number :
edsdoj.9c1af5192dd4456a8ea0b2ddede3fff3
Document Type :
article
Full Text :
https://doi.org/10.4097/kjae.2011.61.5.405