Single shot versus continuous technique adductor canal block for analgesia following total knee arthroplasty : A PRISMA-compliant meta-analysis
BACKGROUND: An adductor canal block (ACB) provides recognized analgesia following total knee arthroplasty (TKA). This meta-analysis compared the single-injection ACB (SACB) with the continuous-injection ACB (CACB).
METHOD: Relevant studies were searched from PubMed (1996-October 2018), Embase (1980-October 2018), and Cochrane Library (CENTRAL, October 2018). Four randomized controlled trials (RCTs), which compared SACB with CACB, were included in our meta-analysis.
RESULTS: Four RCTs met the inclusion criteria. Our pooled data indicated that the SACB group had similar efficacy compared with the CACB group in terms of morphine consumption (P = .19), time to first opioid request (P = .32), range of motion (P = .97), and visual analogue scale (VAS) scores at 24 hours at rest (P = .12) and movement (P = .24), without increasing the risk of complications (P = .97) and length of stay (P = .54).
CONCLUSION: The SACB technique provides similar analgesia in the 24 hours following TKA compared with CACB, while the CACB method was better over 48 hours.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2019 |
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| Erschienen: |
2019 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:98 |
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| Enthalten in: |
Medicine - 98(2019), 20 vom: 01. Mai, Seite e15539 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Zhang, Lu-Kai [VerfasserIn] |
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| Links: |
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| Themen: |
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| Anmerkungen: |
Date Completed 10.06.2019 Date Revised 05.10.2022 published: Print Citation Status MEDLINE |
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| doi: |
10.1097/MD.0000000000015539 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM297150596 |
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| 245 | 1 | 0 | |a Single shot versus continuous technique adductor canal block for analgesia following total knee arthroplasty |b A PRISMA-compliant meta-analysis |
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| 500 | |a Date Completed 10.06.2019 | ||
| 500 | |a Date Revised 05.10.2022 | ||
| 500 | |a published: Print | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a BACKGROUND: An adductor canal block (ACB) provides recognized analgesia following total knee arthroplasty (TKA). This meta-analysis compared the single-injection ACB (SACB) with the continuous-injection ACB (CACB) | ||
| 520 | |a METHOD: Relevant studies were searched from PubMed (1996-October 2018), Embase (1980-October 2018), and Cochrane Library (CENTRAL, October 2018). Four randomized controlled trials (RCTs), which compared SACB with CACB, were included in our meta-analysis | ||
| 520 | |a RESULTS: Four RCTs met the inclusion criteria. Our pooled data indicated that the SACB group had similar efficacy compared with the CACB group in terms of morphine consumption (P = .19), time to first opioid request (P = .32), range of motion (P = .97), and visual analogue scale (VAS) scores at 24 hours at rest (P = .12) and movement (P = .24), without increasing the risk of complications (P = .97) and length of stay (P = .54) | ||
| 520 | |a CONCLUSION: The SACB technique provides similar analgesia in the 24 hours following TKA compared with CACB, while the CACB method was better over 48 hours | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Meta-Analysis | |
| 650 | 7 | |a Analgesics, Opioid |2 NLM | |
| 700 | 1 | |a Zhang, Bo-Ya |e verfasserin |4 aut | |
| 700 | 1 | |a Quan, Ren-Fu |e verfasserin |4 aut | |
| 700 | 1 | |a Xu, Hong |e verfasserin |4 aut | |
| 700 | 1 | |a Sun, Yu-Jie |e verfasserin |4 aut | |
| 700 | 1 | |a Zhou, Jian-Hong |e verfasserin |4 aut | |
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