Gap finder

Search review questions

Each row is one question a systematic review asked: who, what, compared with what, and which outcome, with the effect it found and how certain that is. Words match anywhere in the field.

Limit to evidence status or GRADE (optional)

1,463 questions in 125 reviews · Anaesthesia

current versions
No studies 197 · 13.5%Ungraded 203 · 13.9%Very low 307 · 21%Low 441 · 30.1%Moderate 245 · 16.7%High 70 · 4.8%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

QuestionEffectEvidenceStatus / GRADE
Epidural analgesia vs wound infiltration
Pain at rest at 6 to 8 hours (score from 0 to 10) · adults undergoing cardiac surgery without cardiopulmonary bypass
Epidural analgesia for adults undergoing cardiac surgery with or without cardiopulmonary bypass (2019) · Cochrane
no estimate extracted37 participantsVery low
Epidural analgesia vs wound infiltration
Haemodynamic support (in hospital) · adults undergoing cardiac surgery without cardiopulmonary bypass
Epidural analgesia for adults undergoing cardiac surgery with or without cardiopulmonary bypass (2019) · Cochrane
no estimate extractedNRNo studies
Epidural analgesia vs systemic analgesia
Atrial fibrillation or atrial flutter (0 to 2 weeks) · adults undergoing cardiac surgery with or without cardiopulmonary bypass
Epidural analgesia for adults undergoing cardiac surgery with or without cardiopulmonary bypass (2019) · Cochrane
no estimate extracted18 studies · 2431 participantsModerate
Epidural analgesia vs systemic analgesia
Risk of neurological complications (0 to 30 days) · adults undergoing cardiac surgery with or without cardiopulmonary bypass
Epidural analgesia for adults undergoing cardiac surgery with or without cardiopulmonary bypass (2019) · Cochrane
no estimate extracted18 studies · 2232 participantsVery low
Epidural analgesia vs systemic analgesia
Duration of tracheal intubation · adults undergoing cardiac surgery with or without cardiopulmonary bypass
Epidural analgesia for adults undergoing cardiac surgery with or without cardiopulmonary bypass (2019) · Cochrane
no estimate extracted40 studies · 3353 participantsModerate
Epidural analgesia vs systemic analgesia
Pain at rest at 6 to 8 hours after surgery · adults undergoing cardiac surgery with or without cardiopulmonary bypass
Epidural analgesia for adults undergoing cardiac surgery with or without cardiopulmonary bypass (2019) · Cochrane
no estimate extracted10 studies · 502 participantsModerate
Epidural analgesia vs systemic analgesia
Haemodynamic support (in hospital) · adults undergoing cardiac surgery with or without cardiopulmonary bypass
Epidural analgesia for adults undergoing cardiac surgery with or without cardiopulmonary bypass (2019) · Cochrane
RD 0.21 [0.09, 0.33]17 studies · 870 participantsLow
Epidural analgesia vs peripheral nerve blocks
Mortallity (0 to 30 days · adults undergoing cardiac surgery without cardiopulmonary bypass
Epidural analgesia for adults undergoing cardiac surgery with or without cardiopulmonary bypass (2019) · Cochrane
no estimate extracted1 study · 145 participantsVery low
Ultrasound guidance vs no ultrasound guidance
Failed blocks · children (≤ 18 years of age) undergoing any type of surgical procedure (open or laparoscopic) for which a neuraxial…
The use of ultrasound guidance for perioperative neuraxial and peripheral nerve blocks in children (2019) · Cochrane
no estimate extracted22 studies · 1789 participantsModerate
Ultrasound guidance vs no ultrasound guidance
Pain scores at 1 hour after surgery6 · children (≤ 18 years of age) undergoing any type of surgical procedure (open or laparoscopic) for which a neuraxial…
The use of ultrasound guidance for perioperative neuraxial and peripheral nerve blocks in children (2019) · Cochrane
no estimate extracted15 studies · 982 participantsModerate
Ultrasound guidance vs no ultrasound guidance
Block duration (0 to 1 day) · children (≤ 18 years of age) undergoing any type of surgical procedure (open or laparoscopic) for which a neuraxial…
The use of ultrasound guidance for perioperative neuraxial and peripheral nerve blocks in children (2019) · Cochrane
no estimate extracted10 studies · 460 participantsHigh
Ultrasound guidance vs no ultrasound guidance
Time to perform the block · children (≤ 18 years of age) undergoing any type of surgical procedure (open or laparoscopic) for which a neuraxial…
The use of ultrasound guidance for perioperative neuraxial and peripheral nerve blocks in children (2019) · Cochrane
no estimate extracted9 studies · 680 participantsModerate
Ultrasound guidance vs no ultrasound guidance
Number of needle passes · children (≤ 18 years of age) undergoing any type of surgical procedure (open or laparoscopic) for which a neuraxial…
The use of ultrasound guidance for perioperative neuraxial and peripheral nerve blocks in children (2019) · Cochrane
no estimate extracted3 studies · 256 participantsVery low
Ultrasound guidance vs no ultrasound guidance
Minor complications · children (≤ 18 years of age) undergoing any type of surgical procedure (open or laparoscopic) for which a neuraxial…
The use of ultrasound guidance for perioperative neuraxial and peripheral nerve blocks in children (2019) · Cochrane
no estimate extracted13 studies · 896 participantsLow
Ultrasound guidance vs no ultrasound guidance
Major complications · children (≤ 18 years of age) undergoing any type of surgical procedure (open or laparoscopic) for which a neuraxial…
The use of ultrasound guidance for perioperative neuraxial and peripheral nerve blocks in children (2019) · Cochrane
RD 022 studies · 1576 participantsModerate
Nonsteroidal anti‐inflammatory drugs (NSAIDs) vs control or placebo medications
Acute postoperative pain 0 to 6 hours (Score 0 to 10, VAS or NRS Scale) · adults undergoing brain surgery
Pharmacological interventions for the prevention of acute postoperative pain in adults following brain surgery (2019) · Cochrane
no estimate extracted6 studies · 742 participantsHigh
Nonsteroidal anti‐inflammatory drugs (NSAIDs) vs control or placebo medications
Length of hospital stay (hours) · adults undergoing brain surgery
Pharmacological interventions for the prevention of acute postoperative pain in adults following brain surgery (2019) · Cochrane
no estimate extractedNRNo studies
Nonsteroidal anti‐inflammatory drugs (NSAIDs) vs control or placebo medications
Adverse event nausea and vomiting (0 to 24 hours) · adults undergoing brain surgery
Pharmacological interventions for the prevention of acute postoperative pain in adults following brain surgery (2019) · Cochrane
no estimate extracted2 studies · 345 participantsLow
Dexmedetomidine vs control or placebo medications
Acute postoperative pain 0 to 6 hours (Score 0 to 10, VAS or NRS Scale) · adults undergoing brain surgery
Pharmacological interventions for the prevention of acute postoperative pain in adults following brain surgery (2019) · Cochrane
no estimate extracted2 studies · 128 participantsModerate
Dexmedetomidine vs control or placebo medications
Acute postoperative pain at 12 hours (Score 0 to 10, VAS or NRS Scale) · adults undergoing brain surgery
Pharmacological interventions for the prevention of acute postoperative pain in adults following brain surgery (2019) · Cochrane
no estimate extracted2 studies · 128 participantsLow
Dexmedetomidine vs control or placebo medications
Acute postoperative pain at 24 hours (Score 0 to 10, VAS or NRS Scale) · adults undergoing brain surgery
Pharmacological interventions for the prevention of acute postoperative pain in adults following brain surgery (2019) · Cochrane
no estimate extracted2 studies · 128 participantsLow
Dexmedetomidine vs control or placebo medications
Acute postoperative pain at 48 hours · adults undergoing brain surgery
Pharmacological interventions for the prevention of acute postoperative pain in adults following brain surgery (2019) · Cochrane
no estimate extractedNRNo studies
Dexmedetomidine vs control or placebo medications
Additional analgesia requirements 0 to 24 hours (Milligrams) · adults undergoing brain surgery
Pharmacological interventions for the prevention of acute postoperative pain in adults following brain surgery (2019) · Cochrane
no estimate extracted2 studies · 128 participantsLow
Dexmedetomidine vs control or placebo medications
Analgesic Success · adults undergoing brain surgery
Pharmacological interventions for the prevention of acute postoperative pain in adults following brain surgery (2019) · Cochrane
no estimate extractedNRNo studies
Dexmedetomidine vs control or placebo medications
Sedation · adults undergoing brain surgery
Pharmacological interventions for the prevention of acute postoperative pain in adults following brain surgery (2019) · Cochrane
no estimate extracted1 study · 52 participantsVery low
Dexmedetomidine vs control or placebo medications
Chronic Headache · adults undergoing brain surgery
Pharmacological interventions for the prevention of acute postoperative pain in adults following brain surgery (2019) · Cochrane
no estimate extractedNRNo studies
Nonsteroidal anti‐inflammatory drugs (NSAIDs) vs control or placebo medications
Acute postoperative pain at 12 hours (Score 0 to 10, VAS or NRS Scale) · adults undergoing brain surgery
Pharmacological interventions for the prevention of acute postoperative pain in adults following brain surgery (2019) · Cochrane
no estimate extracted6 studies · 742 participantsHigh
Dexmedetomidine vs control or placebo medications
Length of hospital stay (hours) · adults undergoing brain surgery
Pharmacological interventions for the prevention of acute postoperative pain in adults following brain surgery (2019) · Cochrane
no estimate extractedNRNo studies
Dexmedetomidine vs control or placebo medications
Adverse event nausea and vomiting (0 to 24 hours) · adults undergoing brain surgery
Pharmacological interventions for the prevention of acute postoperative pain in adults following brain surgery (2019) · Cochrane
no estimate extracted3 studies · 261 participantsLow
Dexmedetomidine vs control or placebo medications
Adverse event hypotension (0 to 24 hours) · adults undergoing brain surgery
Pharmacological interventions for the prevention of acute postoperative pain in adults following brain surgery (2019) · Cochrane
no estimate extracted3 studies · 184 participantsLow
Pregabalin or Gabapentin vs control or placebo medications
Acute postoperative Pain 0 to 6 hours · adults undergoing brain surgery
Pharmacological interventions for the prevention of acute postoperative pain in adults following brain surgery (2019) · Cochrane
no estimate extracted2 studies · 202 participantsLow
Pregabalin or Gabapentin vs control or placebo medications
Acute postoperative pain at 12 hours · adults undergoing brain surgery
Pharmacological interventions for the prevention of acute postoperative pain in adults following brain surgery (2019) · Cochrane
no estimate extracted1 study · 100 participantsVery low
Pregabalin or Gabapentin vs control or placebo medications
Acute postoperative pain at 24 hours · adults undergoing brain surgery
Pharmacological interventions for the prevention of acute postoperative pain in adults following brain surgery (2019) · Cochrane
no estimate extracted2 studies · 202 participantsLow
Pregabalin or Gabapentin vs control or placebo medications
Acute postoperative pain at 48 hours · adults undergoing brain surgery
Pharmacological interventions for the prevention of acute postoperative pain in adults following brain surgery (2019) · Cochrane
no estimate extracted2 studies · 202 participantsLow
Pregabalin or Gabapentin vs control or placebo medications
Additional analgesia requirements at 0 to 24 hours · adults undergoing brain surgery
Pharmacological interventions for the prevention of acute postoperative pain in adults following brain surgery (2019) · Cochrane
no estimate extracted3 studies · 234 participantsLow
Pregabalin or Gabapentin vs control or placebo medications
Analgesic Success · adults undergoing brain surgery
Pharmacological interventions for the prevention of acute postoperative pain in adults following brain surgery (2019) · Cochrane
no estimate extractedNRNo studies
Pregabalin or Gabapentin vs control or placebo medications
Sedation · adults undergoing brain surgery
Pharmacological interventions for the prevention of acute postoperative pain in adults following brain surgery (2019) · Cochrane
no estimate extractedNRNo studies
Nonsteroidal anti‐inflammatory drugs (NSAIDs) vs control or placebo medications
Acute postoperative pain at 24 hours (Score 0 to 10, VAS or NRS Scale) · adults undergoing brain surgery
Pharmacological interventions for the prevention of acute postoperative pain in adults following brain surgery (2019) · Cochrane
no estimate extracted6 studies · 742 participantsHigh
Pregabalin or Gabapentin vs control or placebo medications
Chronic Headache · adults undergoing brain surgery
Pharmacological interventions for the prevention of acute postoperative pain in adults following brain surgery (2019) · Cochrane
no estimate extracted54 participantsVery low
Pregabalin or Gabapentin vs control or placebo medications
Length of critical care stay (hours) · adults undergoing brain surgery
Pharmacological interventions for the prevention of acute postoperative pain in adults following brain surgery (2019) · Cochrane
no estimate extractedNRNo studies
Pregabalin or Gabapentin vs control or placebo medications
Length of hospital stay (hours) · adults undergoing brain surgery
Pharmacological interventions for the prevention of acute postoperative pain in adults following brain surgery (2019) · Cochrane
no estimate extracted1 study · 100 participantsVery low
Pregabalin or Gabapentin vs control or placebo medications
Adverse event nausea and vomiting (0 to 24 hours) · adults undergoing brain surgery
Pharmacological interventions for the prevention of acute postoperative pain in adults following brain surgery (2019) · Cochrane
no estimate extracted3 studies · 273 participantsLow
Acetaminophen vs control or placebo medications
Acute postoperative pain 0 to 6 hours · adults undergoing brain surgery
Pharmacological interventions for the prevention of acute postoperative pain in adults following brain surgery (2019) · Cochrane
no estimate extracted3 studies · 332 participantsModerate
Acetaminophen vs control or placebo medications
Acute postoperative pain at 12 hours · adults undergoing brain surgery
Pharmacological interventions for the prevention of acute postoperative pain in adults following brain surgery (2019) · Cochrane
no estimate extracted3 studies · 332 participantsModerate
Acetaminophen vs control or placebo medications
Acute postoperative pain at 24 hours · adults undergoing brain surgery
Pharmacological interventions for the prevention of acute postoperative pain in adults following brain surgery (2019) · Cochrane
no estimate extracted4 studies · 459 participantsHigh
Acetaminophen vs control or placebo medications
Acute postoperative pain at 48 hours · adults undergoing brain surgery
Pharmacological interventions for the prevention of acute postoperative pain in adults following brain surgery (2019) · Cochrane
no estimate extracted1 study · 202 participantsVery low
Acetaminophen vs control or placebo medications
Additional analgesia requirements 0 to 24 hours (milligrams) · adults undergoing brain surgery
Pharmacological interventions for the prevention of acute postoperative pain in adults following brain surgery (2019) · Cochrane
no estimate extracted4 studies · 459 participantsHigh
Acetaminophen vs control or placebo medications
Analgesic Success · adults undergoing brain surgery
Pharmacological interventions for the prevention of acute postoperative pain in adults following brain surgery (2019) · Cochrane
no estimate extractedNRNo studies
Nonsteroidal anti‐inflammatory drugs (NSAIDs) vs control or placebo medications
Acute postoperative pain at 48 hours (Score 0 to 10, VAS or NRS Scale) · adults undergoing brain surgery
Pharmacological interventions for the prevention of acute postoperative pain in adults following brain surgery (2019) · Cochrane
no estimate extracted1 study · 149 participantsVery low
Acetaminophen vs control or placebo medications
Sedation score at 24 hours (Richmond Agitation Sedation scale) · adults undergoing brain surgery
Pharmacological interventions for the prevention of acute postoperative pain in adults following brain surgery (2019) · Cochrane
no estimate extracted1 study · 131 participantsVery low