Perioperative medicine & outcomes

The effect of perioperative benzodiazepine administration on postoperative nausea and vomiting: a systematic review and meta-analysis of randomised controlled trials

Br J AnaesthPublished Systematic review and meta-analysis of randomised controlled trials

Pooled result · PONVResult — go to the resultRelative risk 0.77 95% CI 0.66–0.89

Authors' conclusion

Moderate quality evidence shows that perioperative benzodiazepine administration decreases the incidence of PONV.

Study context

Population
Adults undergoing inpatient surgery119 randomised controlled trials (RCTs)
Comparison
Perioperative benzodiazepines vs non-benzodiazepine comparators
Outcome
PONV
Methodological detailsrandom-effects model, Grading of Recommendations, Assessment, Development and Evaluation (GRADE)
  • Random-effects model
  • GRADE

Pooled result

As reported in the abstract

Relative risk

0.77

95% CI 0.66–0.89

Benzodiazepines vs Non-benzodiazepine comparators
RR 0.77 (95% CI 0.66–0.89)

Further pooled results

OutcomeRR (95% CI)
Postoperative nausea55 studies, n=5916; NNT 21 · moderate certainty0.72 (0.62–0.83)
Postoperative vomiting52 studies, n=5909; NNT 55 · moderate certainty0.74 (0.60–0.91)

Original publication

The effect of perioperative benzodiazepine administration on postoperative nausea and vomiting: a systematic review and meta-analysis of randomised controlled trials. Br J Anaesth. Published 4 January 2024. doi:10.1016/j.bja.2023.11.045

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