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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
Intervention NR
Amisulpride (2 RCTs; 841 participants) · adults undergoing any type of surgery under general anaesthesia Interventions: antiemetic drugs (monoprophylaxis and…
Drugs for preventing postoperative nausea and vomiting in adults after general anaesthesia: a network… (2020) · Cochrane
no estimate extracted2 studies · 841 participantsModerate
Intervention NR
Granisetron (15 RCTs; 1639 participants) · adults undergoing any type of surgery under general anaesthesia Interventions: antiemetic drugs (monoprophylaxis and…
Drugs for preventing postoperative nausea and vomiting in adults after general anaesthesia: a network… (2020) · Cochrane
no estimate extracted15 studies · 1639 participantsVery low
Intervention NR
Ondansetron (57 RCTs; 12260 participants) · adults undergoing any type of surgery under general anaesthesia Interventions: antiemetic drugs (monoprophylaxis and…
Drugs for preventing postoperative nausea and vomiting in adults after general anaesthesia: a network… (2020) · Cochrane
no estimate extracted57 studies · 12260 participantsModerate
Intervention NR
Palonosetron (7 RCTs; 1259 participants) · adults undergoing any type of surgery under general anaesthesia Interventions: antiemetic drugs (monoprophylaxis and…
Drugs for preventing postoperative nausea and vomiting in adults after general anaesthesia: a network… (2020) · Cochrane
no estimate extracted7 studies · 1259 participantsVery low
Intervention NR
Ramosetron (14 RCTs; 1529 participants) · adults undergoing any type of surgery under general anaesthesia Interventions: antiemetic drugs (monoprophylaxis and…
Drugs for preventing postoperative nausea and vomiting in adults after general anaesthesia: a network… (2020) · Cochrane
no estimate extracted14 studies · 1529 participantsLow
Intervention NR
Tropisetron (10 RCTs; 1656 participants) · adults undergoing any type of surgery under general anaesthesia Interventions: antiemetic drugs (monoprophylaxis and…
Drugs for preventing postoperative nausea and vomiting in adults after general anaesthesia: a network… (2020) · Cochrane
no estimate extracted10 studies · 1656 participantsLow
Intervention NR
D2 receptor antagonists · adults undergoing any type of surgery under general anaesthesia Interventions: antiemetic drugs (monoprophylaxis and…
Drugs for preventing postoperative nausea and vomiting in adults after general anaesthesia: a network… (2020) · Cochrane
no estimate extracted2 participantsUngraded
Intervention NR
Amisulpride (2 RCTs; 904 participants) · adults undergoing any type of surgery under general anaesthesia Interventions: antiemetic drugs (monoprophylaxis and…
Drugs for preventing postoperative nausea and vomiting in adults after general anaesthesia: a network… (2020) · Cochrane
no estimate extracted2 studies · 904 participantsLow
Intervention NR
Droperidol (22 RCTs; 3679 participants) · adults undergoing any type of surgery under general anaesthesia Interventions: antiemetic drugs (monoprophylaxis and…
Drugs for preventing postoperative nausea and vomiting in adults after general anaesthesia: a network… (2020) · Cochrane
no estimate extracted22 studies · 3679 participantsModerate
Intervention NR
Haloperidol (2 RCTs; 99 participants) · adults undergoing any type of surgery under general anaesthesia Interventions: antiemetic drugs (monoprophylaxis and…
Drugs for preventing postoperative nausea and vomiting in adults after general anaesthesia: a network… (2020) · Cochrane
no estimate extracted2 studies · 99 participantsLow
Intervention NR
Metoclopramide (11 RCTs; 1313 participants) · adults undergoing any type of surgery under general anaesthesia Interventions: antiemetic drugs (monoprophylaxis and…
Drugs for preventing postoperative nausea and vomiting in adults after general anaesthesia: a network… (2020) · Cochrane
no estimate extracted11 studies · 1313 participantsVery low
Risk of transient neurological symptoms with spinal lidocaine vs other local anaesthetic
Presence of any TNS –lidocaine vs bupivacaine · adult undergoing surgery
Transient neurological symptoms (TNS) following spinal anaesthesia with lidocaine versus other local… (2019) · Cochrane
RR 0.16 [0.09, 0.28]12 studies · 1220 participantsModerate
Risk of transient neurological symptoms with spinal lidocaine vs other local anaesthetic
Presence of any TNS – lidocaine vs 2‐chloroprocaine · adult undergoing surgery
Transient neurological symptoms (TNS) following spinal anaesthesia with lidocaine versus other local… (2019) · Cochrane
RR 0.09 [0.01, 1.51]2 studies · 94 participantsLow
Risk of transient neurological symptoms with spinal lidocaine vs other local anaesthetic
Presence of any TNS – lidocaine vs levobupivacaine · adult undergoing surgery
Transient neurological symptoms (TNS) following spinal anaesthesia with lidocaine versus other local… (2019) · Cochrane
RR 0.13 [0.02, 0.69]2 studies · 120 participantsLow
Risk of transient neurological symptoms with spinal lidocaine vs other local anaesthetic
Presence of any TNS – lidocaine vs mepivacaine · adult undergoing surgery
Transient neurological symptoms (TNS) following spinal anaesthesia with lidocaine versus other local… (2019) · Cochrane
RR 1.01 [0.18, 5.82]4 studies · 274 participantsVery low
Risk of transient neurological symptoms with spinal lidocaine vs other local anaesthetic
Presence of any TNS – lidocaine vs prilocaine · adult undergoing surgery
Transient neurological symptoms (TNS) following spinal anaesthesia with lidocaine versus other local… (2019) · Cochrane
RR 0.18 [0.07, 0.49]4 studies · 429 participantsModerate
Risk of transient neurological symptoms with spinal lidocaine vs other local anaesthetic
Presence of any TNS – lidocaine vs procaine · adult undergoing surgery
Transient neurological symptoms (TNS) following spinal anaesthesia with lidocaine versus other local… (2019) · Cochrane
RR 0.14 [0.04, 0.52]2 studies · 130 participantsModerate
Risk of transient neurological symptoms with spinal lidocaine vs other local anaesthetic
Presence of any TNS – lidocaine vs ropivacaine · adult undergoing surgery
Transient neurological symptoms (TNS) following spinal anaesthesia with lidocaine versus other local… (2019) · Cochrane
RR 0.1 [0.01, 0.78]2 studies · 90 participantsLow
Bispectral index vs clinical signs
Occurrence of intraoperative awareness Time points of measure after surgery: 2 to 6 hours;12 hours; 1 day; 2 days; 3 days; 14 days; 30 days; or time point was not reported Measurement tools: simple questioning; interviews; or structured questionna... · adults undergoing any type of surgery under general anaesthesia; types of anaesthesia included propofol, desflurane,…
Bispectral index for improving intraoperative awareness and early postoperative recovery in adults (2019) · Cochrane
Peto OR 0.36 [0.21, 0.6]27 studies · 9765 participantsLow
Bispectral index vs clinical signs
Time to eye opening (in minutes) · adults undergoing any type of surgery under general anaesthesia; types of anaesthesia included propofol, desflurane,…
Bispectral index for improving intraoperative awareness and early postoperative recovery in adults (2019) · Cochrane
no estimate extracted22 studies · 1494 participantsLow
Bispectral index vs clinical signs
Time to orientation (in minutes) · adults undergoing any type of surgery under general anaesthesia; types of anaesthesia included propofol, desflurane,…
Bispectral index for improving intraoperative awareness and early postoperative recovery in adults (2019) · Cochrane
no estimate extracted6 studies · 273 participantsLow
Bispectral index vs clinical signs
Time to discharge from the PACU (in minutes) · adults undergoing any type of surgery under general anaesthesia; types of anaesthesia included propofol, desflurane,…
Bispectral index for improving intraoperative awareness and early postoperative recovery in adults (2019) · Cochrane
no estimate extracted13 studies · 930 participantsLow
BIS vs ETAG
Occurrence of intraoperative awareness Time points of measure after surgery: 24 hours; 24 to 72 hours; 72 hours; 30 days; 18 hours after extubation in the ICU Measurement tools: structured interviews; or structured questionnaire · adults undergoing any type of surgery under general anaesthesia; types of anaesthesia included propofol, desflurane,…
Bispectral index for improving intraoperative awareness and early postoperative recovery in adults (2019) · Cochrane
Peto OR 1.13 [0.56, 2.26]5 studies · 26572 participantsLow
BIS vs ETAG
Time to eye opening · adults undergoing any type of surgery under general anaesthesia; types of anaesthesia included propofol, desflurane,…
Bispectral index for improving intraoperative awareness and early postoperative recovery in adults (2019) · Cochrane
no estimate extractedNRNo studies
BIS vs ETAG
Time to orientation · adults undergoing any type of surgery under general anaesthesia; types of anaesthesia included propofol, desflurane,…
Bispectral index for improving intraoperative awareness and early postoperative recovery in adults (2019) · Cochrane
no estimate extractedNRNo studies
BIS vs ETAG
Time to discharge from the PACU (in minutes) · adults undergoing any type of surgery under general anaesthesia; types of anaesthesia included propofol, desflurane,…
Bispectral index for improving intraoperative awareness and early postoperative recovery in adults (2019) · Cochrane
no estimate extracted1 study · 15452 participantsLow
Epidural analgesia vs systemic analgesia
Mortality (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
RD 038 studies · 3418 participantsLow
Epidural analgesia vs peripheral nerve blocks
Myocardial infarction (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
RD 02 studies · 76 participantsVery low
Epidural analgesia vs peripheral nerve blocks
Pulmonary complications (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 extractedNRNo studies
Epidural analgesia vs peripheral nerve blocks
Atrial fibrillation or atrial flutter (0 to 2 weeks) · 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 peripheral nerve blocks
Risk of neurological complications (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 extractedNRNo studies
Epidural analgesia vs peripheral nerve blocks
Duration of tracheal intubation · adults undergoing cardiac surgery without cardiopulmonary bypass
Epidural analgesia for adults undergoing cardiac surgery with or without cardiopulmonary bypass (2019) · Cochrane
no estimate extracted4 studies · 271 participantsVery low
Epidural analgesia vs peripheral nerve blocks
Pain at rest at 6 to 8hours after surgery (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
MD 0.122 studies · 90 participantsVery low
Epidural analgesia vs peripheral nerve blocks
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
RD 0.051 study · 40 participantsLow
Epidural analgesia vs intrapleural analgesia
Mortality (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 extractedNRNo studies
Epidural analgesia vs intrapleural analgesia
Myocardial infarction (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
RD 01 study · 50 participantsLow
Epidural analgesia vs intrapleural analgesia
Pulmonary complications (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 extractedNRNo studies
Epidural analgesia vs systemic analgesia
Myocardial infarction (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 extracted26 studies · 2713 participantsLow
Epidural analgesia vs intrapleural analgesia
Atrial fibrillation or atrial flutter) (0 to 2 weeks) · 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 intrapleural analgesia
Risk of neurologicalcomplications (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 extractedNRNo studies
Epidural analgesia vs intrapleural analgesia
Duration of tracheal intubation · 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 · 15 participantsVery low
Epidural analgesia vs intrapleural analgesia
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
MD 0.84 [0.31, 1.37]1 study · 50 participantsLow
Epidural analgesia vs intrapleural analgesia
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 wound infiltration
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 extractedNRNo studies
Epidural analgesia vs wound infiltration
Myocardial infarction (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 extractedNRNo studies
Epidural analgesia vs wound infiltration
Pulmonary complications (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 extractedNRNo studies
Epidural analgesia vs wound infiltration
Atrial fibrillation or atrial flutter (0 to 2 weeks) · 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 wound infiltration
Risk of neurologicalcomplications (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 extractedNRNo studies
Epidural analgesia vs systemic analgesia
Pulmonary 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 extracted21 studies · 1736 participantsLow
Epidural analgesia vs wound infiltration
Duration of tracheal intubation · 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