Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

12 questions · 12 findings · 5 reviews · Anaesthesia

No studies found 4 · 33.3%GRADE not reported 0 · 0%Very low 4 · 33.3%Low 0 · 0%Moderate 2 · 16.7%High 2 · 16.7%

Transdermal or intranasal nicotine vs placebo

Sedation score (numerical rating scale of 1 to 6: 0 = anxious, agitated, or restless, 6 = asleep, no response) · patients with postoperative pain

It is very uncertain whether transdermal or intranasal nicotine changes sedation score compared with placebo (very low certainty).

1 finding from 1 review

Multiple vs double‐injection technique

Secondary analgesia failure: Intraoperative sedation required · Adult patients undergoing hand, wrist or forearm surgery

Multiple showed no clear difference in secondary analgesia failure ‐ intraoperative sedation required compared with double‐injection technique (high certainty).

1 finding from 1 review

Double vs single‐injection technique

Secondary analgesia failure: Intraoperative sedation required · Adult patients undergoing hand, wrist or forearm surgery

Double showed no clear difference in secondary analgesia failure ‐ intraoperative sedation required compared with single‐injection technique (moderate certainty).

1 finding from 1 review

Multiple vs single‐injection technique

Secondary analgesia failure: Intraoperative sedation required · Adult patients undergoing hand, wrist or forearm surgery

Multiple showed no clear difference in secondary analgesia failure ‐ intraoperative sedation required compared with single‐injection technique (high certainty).

1 finding from 1 review

Intervention not reported

Primary outcome: Failure to complete procedure (due to sedation‐related problems) · Adults (over 18 years) with requirement for an ERCP procedure with diagnostic intent
1 finding from 1 review

Intervention not reported

Postoperative sedation 12 hours after surgery (units of RSS, Ramsay Sedation Scale from 1 = Anxious or agitated or restless to 6 = Unresponsive) (MD, 95% CI) · adults having abdominal surgery
1 finding from 1 review