scholarly journals Efficacy of perineural vs systemic dexamethasone to prolong analgesia after peripheral nerve block: a systematic review and meta-analysis

2017 ◽  
Vol 119 (2) ◽  
pp. 183-191 ◽  
Author(s):  
M. Baeriswyl ◽  
K.R. Kirkham ◽  
A. Jacot-Guillarmod ◽  
E. Albrecht
Keyword(s):  
Systematic Review ◽  
Peripheral Nerve ◽  
Nerve Block ◽  
Peripheral Nerve Block ◽  
Meta Analysis

Peripheral nerve block anesthesia/analgesia for patients undergoing primary hip and knee arthroplasty: recommendations from the International Consensus on Anesthesia-Related Outcomes after Surgery (ICAROS) group based on a systematic review and meta-analysis of current literature

2021 ◽  
pp. rapm-2021-102750
Author(s):  
Stavros G Memtsoudis ◽  
Crispiana Cozowicz ◽  
Janis Bekeris ◽  
Dace Bekere ◽  
Jiabin Liu ◽  
...  
Keyword(s):  
Systematic Review ◽  
Peripheral Nerve ◽  
Nerve Block ◽  
Knee Arthroplasty ◽  
Peripheral Nerve Block ◽  
Meta Analysis ◽  
Bleeding Complications ◽  
Cochrane Library ◽  
Total Hip ◽  
The Impact

BackgroundEvidence-based international expert consensus regarding the impact of peripheral nerve block (PNB) use in total hip/knee arthroplasty surgery.MethodsA systematic review and meta-analysis: randomized controlled and observational studies investigating the impact of PNB utilization on major complications, including mortality, cardiac, pulmonary, gastrointestinal, renal, thromboembolic, neurologic, infectious, and bleeding complications.Medline, PubMed, Embase, and Cochrane Library including Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, NHS Economic Evaluation Database, were queried from 1946 to August 4, 2020.The Grading of Recommendations Assessment, Development, and Evaluation approach was used to assess evidence quality and for the development of recommendations.ResultsAnalysis of 122 studies revealed that PNB use (compared with no use) was associated with lower ORs for (OR with 95% CIs) for numerous complications (total hip and knee arthroplasties (THA/TKA), respectively): cognitive dysfunction (OR 0.30, 95% CI 0.17 to 0.53/OR 0.52, 95% CI 0.34 to 0.80), respiratory failure (OR 0.36, 95% CI 0.17 to 0.74/OR 0.37, 95% CI 0.18 to 0.75), cardiac complications (OR 0.84, 95% CI 0.76 to 0.93/OR 0.83, 95% CI 0.79 to 0.86), surgical site infections (OR 0.55 95% CI 0.47 to 0.64/OR 0.86 95% CI 0.80 to 0.91), thromboembolism (OR 0.74, 95% CI 0.58 to 0.96/OR 0.90, 95% CI 0.84 to 0.96) and blood transfusion (OR 0.84, 95% CI 0.83 to 0.86/OR 0.91, 95% CI 0.90 to 0.92).ConclusionsBased on the current body of evidence, the consensus group recommends PNB use in THA/TKA for improved outcomes.Recommendation: PNB use is recommended for patients undergoing THA and TKA except when contraindications preclude their use. Furthermore, the alignment of provider skills and practice location resources needs to be ensured. Evidence level: moderate; recommendation: strong.

scholarly journals Efficacy of ultrasound and nerve stimulation guidance in peripheral nerve block: A systematic review and meta-analysis

IUBMB Life ◽  
2017 ◽  
Vol 69 (9) ◽  
pp. 720-734
Author(s):  
Zhi-Xue Wang ◽  
De-Li Zhang ◽  
Xin-Wei Liu ◽  
Yan Li ◽  
Xiao-Xia Zhang ◽  
...  
Keyword(s):  
Systematic Review ◽  
Peripheral Nerve ◽  
Nerve Block ◽  
Nerve Stimulation ◽  
Peripheral Nerve Block ◽  
Meta Analysis
Sign in / Sign up

Export Citation Format

Share Document