Evidence map›Paper›PMID 40545299›Full record

ArticleBMJ open2025

Effects of ondansetron applied before the induction of anaesthesia on postoperative nausea and vomiting in high-risk patients: protocol for a randomised controlled trial.

Fandong Bu, Dongbin Zhang, Yongliang Chi

Abstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Fandong BuShandong University of Traditional Chinese Medicine First Clinical Medical College, Jinan, China.ORCID http://orcid.org/0009-0004-5726-6595
Dongbin ZhangShandong University of Traditional Chinese Medicine First Clinical Medical College, Jinan, China 15553156588@163.com zhangdbzunyi@163.com.
Yongliang ChiShandong University of Traditional Chinese Medicine First Clinical Medical College, Jinan, China 15553156588@163.com zhangdbzunyi@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPostoperative nausea and vomiting (PONV) is a common complication following various surgical procedures, significantly contributing to patient discomfort and increasing healthcare costs. Despite the widespread use of multiple drug combinations, PONV remains a persistent challenge, particularly in high-risk populations. Existing evidence suggests a potential interaction between 5-HT3 receptors and μ-opioid receptors, indicating that they may function as co-receptors with a competitive relationship. Based on this hypothesis, we designed experiments to investigate this correlation. METHODS AND ANALYSIS: This randomised, parallel, positive-controlled, double-blind (both intervener and participant) trial will take place at the Affiliated Hospital of Shandong University of Traditional Chinese Medicine. Based on relevant literature and our pre-test, the incidence of PONV in the intervention group is estimated to be approximately 30%. With an expected 10% loss-to-follow-up rate and a desired statistical power of 0.9 (1-β), the required sample size for each group is 65 participants, totalling 130 subjects to be enrolled from 30 March 2025 to 30 April 2025. Eligible patients will be randomly allocated to either the intervention or control group. Ondansetron will be administered 15 min before anaesthesia induction in the intervention group (n=65) and at the end of surgery in the control group (n=65). The primary outcome is the incidence of PONV within the 0-24-hour postoperative period. The sample size will be calculated using PASS 15, statistical analysis will be conducted using SPSS 25 and missing data will be addressed using the Last Observation Carried Forward method. Two-tailed tests will be employed, with significance set at α=0.05. Results will be considered significant if p<0.05. ETHICS AND DISSEMINATION: Ethical approval for the study was obtained from the Affiliated Hospital of Shandong University of Traditional Chinese Medicine. All raw data from the trial will be made available on Dryad. TRIAL REGISTRATION NUMBER: The trial is registered with China's Clinical Trial Registry (www.chictr.org.cn) under the registration number ChiCTR2400086696.

Indexed as

AnesthesiaAntiemeticsOndansetronPostoperative Nausea and VomitingAdultDouble-Blind MethodFemaleHumansMaleMiddle AgedRandomized Controlled Trials as TopicYoung AdultAntiemeticsOndansetronAdult anaesthesiaCLINICAL PHARMACOLOGYMedicine

Identifiers

PMID40545299
PMCPMC12184390

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.