Should continuous rather than single-injection interscalene block be routinely offered for major shoulder surgery? A meta-analysis of the analgesic and.

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Presentation transcript:

Should continuous rather than single-injection interscalene block be routinely offered for major shoulder surgery? A meta-analysis of the analgesic and side-effects profiles L. Vorobeichik, R. Brull, R. Bowry, J.G. Laffey, F.W. Abdallah British Journal of Anaesthesia Volume 120, Issue 4, Pages 679-692 (April 2018) DOI: 10.1016/j.bja.2017.11.104 Copyright © 2017 British Journal of Anaesthesia Terms and Conditions

Fig 1 Preferred reporting items for systematic reviews and meta-analyses (PRISMA)18 flow diagram summarizing retrieved, included, and excluded RCTs. Abbreviation: n, number of patients. British Journal of Anaesthesia 2018 120, 679-692DOI: (10.1016/j.bja.2017.11.104) Copyright © 2017 British Journal of Anaesthesia Terms and Conditions

Fig 2 Forest plot depicting A) 0–24 hour and B) 24–48 hour analgesic consumption. The individual trials' weighted mean differences,standard error, and the pooled estimates of the ratio of means are shown. The 95% confidence intervals are shown as lines for individual studies and as diamonds for pooled estimates. Abbreviations: CISB, continuous interscalene block; SISB, single injection interscalene block. British Journal of Anaesthesia 2018 120, 679-692DOI: (10.1016/j.bja.2017.11.104) Copyright © 2017 British Journal of Anaesthesia Terms and Conditions

Fig 3 Plot of the weighed mean difference of the rest pain visual analog scale (VAS) scores between the interventions over time. Error bars represent 95% confidence intervals; confidence intervals crossing zero (red line) indicate lack of statistical significance. Abbreviations: CISB, continuous interscalene block; SISB, single injection interscalene block. (*) P<0.05. British Journal of Anaesthesia 2018 120, 679-692DOI: (10.1016/j.bja.2017.11.104) Copyright © 2017 British Journal of Anaesthesia Terms and Conditions

British Journal of Anaesthesia 2018 120, 679-692DOI: (10. 1016/j. bja Copyright © 2017 British Journal of Anaesthesia Terms and Conditions