The role of sciatic nerve block to complement femoral nerve block in total knee arthroplasty: a meta-analysis of randomized controlled trials

The role of sciatic nerve block to complement femoral nerve block in total knee arthroplasty: a... Introduction Femoral nerve block (FNB) appears to have higher postoperative analgesic benefits compared with the patient- controlled analgesia (PCA) in total knee arthroplasty (TKA). However, the role of sciatic nerve block (SNB) as a complement to FNB remains controversial. We performed a meta-analysis assessing the benefits of the SNB as a complement to FNB, as well as comparing the efficacy of single-injection versus continuous SNB in TKA. Methods Our group conducted a systematic literature search in PubMed, EMBASE and Google Scholar. We retrieved randomized trials comparing either SNB versus placebo or continuous versus single-injection SNB. The intervention group was the use of SNB as a complement to FNB, while the control group was FNB alone. Pain score at rest and movement (at 4, 12, 24, 48 and 72 h), patient-controlled intravenous opioid consumption, length of hospital stay, and incidence of nausea were extracted from each study. Random-effects model was used for meta-analysis and standardized mean difference (SMD) was used as the effect size. Results Ten articles comprising 514 patients were included to compare the effects of SNB combined with FNB versus FNB alone. Interventional group was found to significantly reduce pain score at for 4 h (SMD = − 0.94, 95% CI http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Anesthesia Springer Journals

The role of sciatic nerve block to complement femoral nerve block in total knee arthroplasty: a meta-analysis of randomized controlled trials

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Abstract

Introduction Femoral nerve block (FNB) appears to have higher postoperative analgesic benefits compared with the patient- controlled analgesia (PCA) in total knee arthroplasty (TKA). However, the role of sciatic nerve block (SNB) as a complement to FNB remains controversial. We performed a meta-analysis assessing the benefits of the SNB as a complement to FNB, as well as comparing the efficacy of single-injection versus continuous SNB in TKA. Methods Our group conducted a systematic literature search in PubMed, EMBASE and Google Scholar. We retrieved randomized trials comparing either SNB versus placebo or continuous versus single-injection SNB. The intervention group was the use of SNB as a complement to FNB, while the control group was FNB alone. Pain score at rest and movement (at 4, 12, 24, 48 and 72 h), patient-controlled intravenous opioid consumption, length of hospital stay, and incidence of nausea were extracted from each study. Random-effects model was used for meta-analysis and standardized mean difference (SMD) was used as the effect size. Results Ten articles comprising 514 patients were included to compare the effects of SNB combined with FNB versus FNB alone. Interventional group was found to significantly reduce pain score at for 4 h (SMD = − 0.94, 95% CI

Journal

Journal of Anesthesia – Springer Journals

Published: Mar 8, 2018

References

  • Peripheral nerve stimulation in regional anesthesia
    Klein, SM; Melton, MS; Grill, WM; Nielsen, KC
  • Meta-analysis of epidural analgesia versus peripheral nerve blockade after total knee joint replacement
    Gerrard, AD; Brooks, B; Asaad, P; Hajibandeh, S; Hajibandeh, S
  • A comprehensive anesthesia protocol that emphasizes peripheral nerve blockade for total knee and total hip arthroplasty
    Hebl, JR; Kopp, SL; Ali, MH; Horlocker, TT; Dilger, JA; Lennon, RL; Williams, BA; Hanssen, AD; Pagnano, MW
  • Femoral nerve block improves analgesia outcomes after total knee arthroplasty: a meta-analysis of randomized controlled trials
    Paul, JE; Arya, A; Hurlburt, L; Cheng, J; Thabane, L; Tidy, A; Murthy, Y
  • Femoral nerve blocks for acute postoperative pain after knee replacement surgery
    Chan, EY; Fransen, M; Parker, DA; Assam, PN; Chua, N
  • Is sciatic nerve block advantageous when combined with femoral nerve block for postoperative analgesia following total knee arthroplasty? A systematic review
    Abdallah, FW; Brull, R
  • Comparing the effects of femoral nerve block versus femoral and sciatic nerve block on pain and opiate consumption after total knee arthroplasty
    Cook, P; Stevens, J; Gaudron, C
  • The value of adding sciatic block to continuous femoral block for analgesia after total knee replacement
    Pham Dang, C; Gautheron, E; Guilley, J; Fernandez, M; Waast, D; Volteau, C; Nguyen, JM; Pinaud, M
  • The analgesic effects of proximal, distal, or no sciatic nerve block on posterior knee pain after total knee arthroplasty: a double-blind placebo-controlled randomized trial
    Abdallah, FW; Chan, VW; Gandhi, R; Koshkin, A; Abbas, S; Brull, R
  • Peripheral nerve blocks improve analgesia after total knee replacement surgery
    Allen, HW; Liu, SS; Ware, PD; Nairn, CS; Owens, BD
  • Single-injection sciatic nerve block combined continuous femoral nerve block reduces the incidence of postoperative delirium
    Dong-xin, ZD-ZW; Dong-liang, M
  • Influence of adding a single shot sciatic nerve block to continuous femoral nerve block on knee rehabilitation after total knee replacement
    Gerard, C; Hausman, I; Macaire, P; Singelyn, FJ
  • Single-injection femoral and sciatic nerve blocks for pain control after total knee arthroplasty
    Hunt, KJ; Bourne, MH; Mariani, EM
  • Postoperative analgesia and functional recovery after total-knee replacement: comparison of a continuous posterior lumbar plexus (psoas compartment) block, a continuous femoral nerve block, and the combination of a continuous femoral and sciatic nerve block
    Morin, AM; Kratz, CD; Eberhart, LH; Dinges, G; Heider, E; Schwarz, N; Eisenhardt, G; Geldner, G; Wulf, H
  • Comparing the effects of single shot sciatic nerve block versus posterior capsule local anesthetic infiltration on analgesia and functional outcome after total knee arthroplasty: a prospective, randomized, double-blinded, controlled trial
    Safa, B; Gollish, J; Haslam, L; McCartney, CJ
  • A comparison of continuous femoral analgesia and single dose sciatic nerve block added to continuous femoral analgesia for total knee arthroplasty
    Yüksel, BE
  • Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement
    Moher, D; Liberati, A; Tetzlaff, J; Altman, DG
  • Assessing the quality of reports of randomized clinical trials: is blinding necessary?
    Jadad, AR; Moore, RA; Carroll, D; Jenkinson, C; Reynolds, DJ; Gavaghan, DJ; McQuay, HJ
  • Estimating the sample mean and standard deviation from the sample size, median, range and/or interquartile range
    Wan, X; Wang, W; Liu, J; Tong, T
  • A power primer
    Cohen, J
  • Biases in the assessment of diagnostic tests
    Begg, CB
  • Bias in meta-analysis detected by a simple, graphical test
    Egger, M; Smith, GD; Schneider, M; Minder, C
  • Does continuous sciatic nerve block improve postoperative analgesia and early rehabilitation after total knee arthroplasty? A prospective, randomized, double-blinded study
    Cappelleri, G; Ghisi, D; Fanelli, A; Albertin, A; Somalvico, F; Aldegheri, G
  • Continuous versus single-injection sciatic nerve block added to continuous femoral nerve block for analgesia after total knee arthroplasty: a prospective, randomized, double-blind study
    Sato, K; Adachi, T; Shirai, N; Naoi, N
  • Value of single-injection or continuous sciatic nerve block in addition to a continuous femoral nerve block in patients undergoing total knee arthroplasty: a prospective, randomized, controlled trial
    Wegener, JT; Ooij, B; Dijk, CN; Hollmann, MW; Preckel, B; Stevens, MF

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