Ultrasound guidance compared with electrical neurostimulation for peripheral nerve block: a systematic review and meta-analysis of randomized controlled.

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Presentation transcript:

Ultrasound guidance compared with electrical neurostimulation for peripheral nerve block: a systematic review and meta-analysis of randomized controlled trials M.S. Abrahams, M.F. Aziz, R.F. Fu, J.-L. Horn British Journal of Anaesthesia Volume 102, Issue 3, Pages 408-417 (March 2009) DOI: 10.1093/bja/aen384 Copyright © 2009 British Journal of Anaesthesia Terms and Conditions

Fig 1 Block failure rate by study and overall. The number of failed blocks is listed for both study groups, along with the RR, 95% CI, and percentage of weight assigned to each study in the analysis of overall RR for block failure. In the forest plot on the right, the vertical line indicates no difference between the groups, with points to the left of the line indicating lower rates of block failure in the US group and points to the right indicating lower rates of block failure in the PNS group. British Journal of Anaesthesia 2009 102, 408-417DOI: (10.1093/bja/aen384) Copyright © 2009 British Journal of Anaesthesia Terms and Conditions

Fig 2 Conversion rate to GA or SA by study and overall. The number of patients converted to GA/SA is listed for both study groups, along with the RR, 95% CI, and percentage of weight assigned to each study in the analysis of overall RR for need to convert to GA/SA. In the forest plot on the right, the vertical line indicates no difference between the groups, with points to the left of the line indicating lower rates of converting to GA/SA in the US group and points to the right indicating lower rates of converting to GA/SA in the PNS group. British Journal of Anaesthesia 2009 102, 408-417DOI: (10.1093/bja/aen384) Copyright © 2009 British Journal of Anaesthesia Terms and Conditions

Fig 3 Procedure time (in minutes) by study and overall. In the forest plot on the right, the vertical line indicates no difference between the groups, with points to the left of the line indicating shorter procedure times in the US group and points to the right indicating shorter procedure times in the PNS group. British Journal of Anaesthesia 2009 102, 408-417DOI: (10.1093/bja/aen384) Copyright © 2009 British Journal of Anaesthesia Terms and Conditions

Fig 4 Sensory onset time of blocks by study and overall. Data are expressed as the percentage difference in mean time rather the absolute difference in mean time to account for heterogeneity of data. In the forest plot on the right, the vertical line indicates no difference between the groups, with points to the left of the line indicating shorter onset times in the US group and points to the right indicating shorter onset times in the PNS group. British Journal of Anaesthesia 2009 102, 408-417DOI: (10.1093/bja/aen384) Copyright © 2009 British Journal of Anaesthesia Terms and Conditions

Fig 5 Duration of blocks by study and overall. Data are expressed as the percentage difference in mean time rather the absolute difference in mean time to account for heterogeneity of data. In the forest plot on the right, the vertical line indicates no difference between the groups, with points to the left of the line indicating shorter durations in the US group and points to the right indicating shorter durations in the PNS group. British Journal of Anaesthesia 2009 102, 408-417DOI: (10.1093/bja/aen384) Copyright © 2009 British Journal of Anaesthesia Terms and Conditions

Fig 6 Incidence of inadvertent vascular puncture during block performance by study and overall. In the forest plot on the right, the vertical line indicates no difference between the groups, with points to the left of the line indicating fewer vascular punctures in the US group and points to the right indicating fewer vascular punctures in the PNS group. British Journal of Anaesthesia 2009 102, 408-417DOI: (10.1093/bja/aen384) Copyright © 2009 British Journal of Anaesthesia Terms and Conditions