Efficacy and safety of different techniques of paravertebral block for analgesia after thoracotomy: a systematic review and metaregression  A. Kotzé,

Slides:



Advertisements
Similar presentations
Efficacy of perineural vs systemic dexamethasone to prolong analgesia after peripheral nerve block: a systematic review and meta-analysis  M. Baeriswyl,
Advertisements

Paravertebral block in paediatric abdominal surgery'a systematic review and meta- analysis of randomized trials  E.A. Page, K.L. Taylor  British Journal.
Impact of pregabalin on acute and persistent postoperative pain: a systematic review and meta-analysis  B.M. Mishriky, N.H. Waldron, A.S. Habib  British.
C Dualé, C Frey, F Bolandard, A Barrière, P Schoeffler 
Non-opioid analgesics in adults after major surgery: systematic review with network meta-analysis of randomized trials  V Martinez, H Beloeil, E Marret,
Efficacy of low-dose bupivacaine in spinal anaesthesia for Caesarean delivery: systematic review and meta-analysis  C. Arzola, P.M. Wieczorek  British.
Supplemental oxygen and surgical site infection: getting to the truth
Rectal and parenteral paracetamol, and paracetamol in combination with NSAIDs, for postoperative analgesia  J. Rømsing, S. Møiniche, J.B. Dahl  British.
Antiemetic and analgesic-sparing effects of diphenhydramine added to morphine intravenous patient-controlled analgesia  T.-F. Lin, Y.-C. Yeh, Y.-H. Yen,
Type of anaesthesia and patient quality of recovery: a randomized trial comparing propofol–remifentanil total i.v. anaesthesia with desflurane anaesthesia 
Analgesic efficacy of ultrasound-guided transversus abdominis plane block in patients undergoing open appendicectomy†   G. Niraj, A. Searle, M. Mathews,
Effect of combining tramadol and morphine in adult surgical patients: a systematic review and meta-analysis of randomized trials  V. Martinez, L. Guichard,
A comparison of the analgesic efficacy and side-effects of paravertebral vs epidural blockade for thoracotomy—a systematic review and meta-analysis of.
C. A. Deegan, D. Murray, P. Doran, P. Ecimovic, D. C. Moriarty, D. J
Prospective, randomized, controlled trial of thoracic epidural or patient-controlled opiate analgesia on perioperative quality of life  M. Ali, D.C. Winter,
Spinal anaesthesia for elective surgery: a comparison of hyperbaric solutions of racemic bupivacaine, levobupivacaine, and ropivacaine  J.F. Luck, P.D.W.
M.S. Evans, C. Lysakowski, M.R. Tramèr  British Journal of Anaesthesia 
A different use of visual analytic techniques in anaesthetics
M. Boutonnet, V. Faitot, A. Katz, L. Salomon, H. Keita 
Transversus abdominis plane block for postoperative analgesia after Caesarean delivery performed under spinal anaesthesia? A systematic review and meta-analysis 
Pre-hospital tracheal intubation in patients with traumatic brain injury: systematic review of current evidence  E. von Elm, P. Schoettker, I. Henzi,
Duration of analgesic effectiveness after the posterior and lateral transversus abdominis plane block techniques for transverse lower abdominal incisions:
J.-Y. Hwang, H.-S. Na, Y.-T. Jeon, Y.-J. Ro, C.-S. Kim, S.-H. Do 
R.J.Ni Mhuircheartaigh, R.A. Moore, H.J. McQuay 
Epidural infusion or combined femoral and sciatic nerve blocks as perioperative analgesia for knee arthroplasty†  Davies A.F. , Segar E.P. , Murdoch J.
Evaluation of a single preoperative dose of pregabalin for attenuation of postoperative pain after laparoscopic cholecystectomy  A. Agarwal, S. Gautam,
Should continuous rather than single-injection interscalene block be routinely offered for major shoulder surgery? A meta-analysis of the analgesic and.
Pain after orthopaedic surgery: differences in patient reported outcomes in the United States vs internationally. An observational study from the PAIN.
Randomized, double-blind comparison of patient-controlled epidural infusion vs nurse- administered epidural infusion for postoperative analgesia in patients.
L.A. Steiner, L. Hauenstein, W. Ruppen, K.F. Hampl, M.D. Seeberger 
Spinal anaesthesia: comparison of plain ropivacaine 5 mg ml−1 with bupivacaine 5 mg ml−1 for major orthopaedic surgery  D.A. McNamee, A.M. McClelland,
General anaesthesia in a patient with Brugada syndrome
Acute pain: combination treatments and how we measure their efficacy
Efficacy of intravenous magnesium in neuropathic pain
Comparison of transversus abdominis plane block vs spinal morphine for pain relief after Caesarean section  R.C.N. McMorrow, R.J. Ni Mhuircheartaigh,
D.H.J. Davis, M. Oliver, A.J. Byrne  British Journal of Anaesthesia 
Does regional anaesthesia improve outcome after total hip arthroplasty
Effects of magnesium sulphate on intraoperative anaesthetic requirements and postoperative analgesia in gynaecology patients receiving total intravenous.
Epidural analgesia compared with peripheral nerve blockade after major knee surgery: a systematic review and meta-analysis of randomized trials  S.J.
The effect of addition of intrathecal clonidine to hyperbaric bupivacaine on postoperative pain and morphine requirements after Caesarean section: a randomized.
Effect of pre-emptive ketamine on sensory changes and postoperative pain after thoracotomy: comparison of epidural and intramuscular routes  Ozyalcin.
A. M. El-Hennawy, A. M. Abd-Elwahab, A. M. Abd-Elmaksoud, H. S
Emetic effects of morphine and piritramide†
D. Fletcher, V. Martinez  British Journal of Anaesthesia 
Anaesthesia for awake craniotomy—evolution of a technique that facilitates awake neurological testing  A. Sarang, J. Dinsmore  British Journal of Anaesthesia 
Y.A. Zausig, H. Künzig, G. Roth, B.M. Graf 
I. Volikas, A. Butwick, C. Wilkinson, A. Pleming, G. Nicholson 
Regional anaesthesia to prevent chronic pain after surgery: a Cochrane systematic review and meta-analysis†  M.H. Andreae, D.A. Andreae  British Journal.
S.G. Hillyard, T.E. Bate, T.B. Corcoran, M.J. Paech, G. O'Sullivan 
Postoperative pain relief after total hip arthroplasty: a randomized, double-blind comparison between intrathecal morphine and local infiltration analgesia 
Spinal analgesia for laparoscopic colonic resection using an enhanced recovery after surgery programme: better analgesia, but no benefits on postoperative.
Chronic pain in adults after thoracotomy in childhood or youth
Efficacy of dexmedetomidine compared with midazolam for sedation in adult intensive care patients: a systematic review  R. Adams, G.T. Brown, M. Davidson,
Thoracic paravertebral blocks in abdominal surgery – a systematic review of randomized controlled trials  K. El-Boghdadly, C. Madjdpour, K.J. Chin  British.
Heterogeneity of studies in anesthesiology systematic reviews: a meta-epidemiological review and proposal for evidence mapping  B. Umberham, R. Hedin,
Comparison of sub-Tenon’s block with i. v
Combined paravertebral and intrathecal vs thoracic epidural analgesia for post- thoracotomy pain relief  S. Dango, S. Harris, K. Offner, E. Hennings, H.-J.
Epidural analgesia with 0. 15% ropivacaine plus sufentanil 0
Suspected opioid-induced hyperalgesia in an infant
Comparison of ropivacaine 0. 5% (in glucose 5%) with bupivacaine 0
A huffing manoeuvre, immediately before induction of anaesthesia, prevents fentanyl- induced coughing: a prospective, randomized, and controlled study 
Systematic review of the QoR-15 score, a patient- reported outcome measure measuring quality of recovery after surgery and anaesthesia  J. Kleif, J. Waage,
T. -F. Lin, Y. -C. Yeh, F. -S. Lin, Y. -P. Wang, C. -J. Lin, W. -Z
Regional anaesthesia to improve pain outcomes in paediatric surgical patients: a qualitative systematic review of randomized controlled trials  S. Suresh,
Effects of magnesium sulphate on intraoperative neuromuscular blocking agent requirements and postoperative analgesia in children with cerebral palsy 
Comparison between patient-controlled analgesia and subcutaneous morphine in elderly patients after total hip replacement†  H. Keïta, N. Geachan, S. Dahmani,
Psychomotor recovery in very old patients after total intravenous or balanced anaesthesia for cataract surgery  J Kubitz, J Epple, A Bach, J Motsch, E.
Obstetric analgesia: a comparison of patient-controlled meperidine, remifentanil, and fentanyl in labour  M.R. Douma, R.A. Verwey, C.E. Kam-Endtz, P.D.
Benefit and risk of intrathecal morphine without local anaesthetic in patients undergoing major surgery: meta-analysis of randomized trials  N. Meylan,
Effects of acetaminophen on morphine side-effects and consumption after major surgery: meta-analysis of randomized controlled trials†   C. Remy, E. Marret,
Presentation transcript:

Efficacy and safety of different techniques of paravertebral block for analgesia after thoracotomy: a systematic review and metaregression  A. Kotzé, A. Scally, S. Howell  British Journal of Anaesthesia  Volume 103, Issue 5, Pages 626-636 (November 2009) DOI: 10.1093/bja/aep272 Copyright © 2009 British Journal of Anaesthesia Terms and Conditions

Fig 1 QUORUM flowchart showing included and excluded studies. British Journal of Anaesthesia 2009 103, 626-636DOI: (10.1093/bja/aep272) Copyright © 2009 British Journal of Anaesthesia Terms and Conditions

Fig 2 Scatter plots of visual analogue scores vs bupivacaine dosage. Bubble graphs depicting resting and dynamic visual analogue scores at 8, 24, and 48 h after thoracotomy. The diameter of each bubble is proportional to the number of patients in the PVB group(s) of each trial. British Journal of Anaesthesia 2009 103, 626-636DOI: (10.1093/bja/aep272) Copyright © 2009 British Journal of Anaesthesia Terms and Conditions

Fig 3 Scatter plots of visual analogue scores vs ropivacaine dosage. Bubble graphs depicting resting and dynamic visual analogue scores at 24 h after thoracotomy. The diameter of each bubble is proportional to the number of patients in the PVB group(s) of each trial. British Journal of Anaesthesia 2009 103, 626-636DOI: (10.1093/bja/aep272) Copyright © 2009 British Journal of Anaesthesia Terms and Conditions

Fig 4 PCA morphine consumption and pain scores. Bubble graphs depicting resting and dynamic visual analogue scores at 24 h after thoracotomy. The diameter of each bubble is proportional to the number of patients in the PVB group(s) of each trial. British Journal of Anaesthesia 2009 103, 626-636DOI: (10.1093/bja/aep272) Copyright © 2009 British Journal of Anaesthesia Terms and Conditions