Single shot versus continuous technique adductor canal block for analgesia following total knee arthroplasty: A PRISMA-compliant meta-analysis.
Medicine (Baltimore)
; 98(20): e15539, 2019 May.
Article
en En
| MEDLINE
| ID: mdl-31096456
ABSTRACT
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 (Pâ=â.19), time to first opioid request (Pâ=â.32), range of motion (Pâ=â.97), and visual analogue scale (VAS) scores at 24âhours at rest (Pâ=â.12) and movement (Pâ=â.24), without increasing the risk of complications (Pâ=â.97) and length of stay (Pâ=â.54).CONCLUSION:
The SACB technique provides similar analgesia in the 24âhours following TKA compared with CACB, while the CACB method was better over 48âhours.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Dolor Postoperatorio
/
Artroplastia de Reemplazo de Rodilla
/
Manejo del Dolor
/
Bloqueo Nervioso
Tipo de estudio:
Clinical_trials
/
Systematic_reviews
Límite:
Humans
Idioma:
En
Revista:
Medicine (Baltimore)
Año:
2019
Tipo del documento:
Article