Bloqueo nervioso periférico para el dolor posoperatorio después de la cirugía mayor de la rodilla
Información
- DOI:
- https://doi.org/10.1002/14651858.CD010937.pub2Copiar DOI
- Base de datos:
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- Cochrane Database of Systematic Reviews
- Versión publicada:
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- 11 diciembre 2014see what's new
- Tipo:
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- Intervention
- Etapa:
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- Review
- Grupo Editorial Cochrane:
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Grupo Cochrane de Dolor y cuidados paliativos
- Copyright:
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- Copyright © 2016 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.
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Autores
Contributions of authors
Jin Xu, Xue‐mei Chen and Chen‐kai Ma contributed equally to this work. Jin Xu, Xue‐mei Chen and Chen‐kai Ma wrote the review. Jin Xu collected and analyzed data for the review. Xue‐mei Chen collected data for the review. Chen‐kai Ma entered data into Review Manager 5 and wrote to the authors of papers for additional information. Xiang‐rui Wang conceived the review, and provided general advice.
Declarations of interest
Jin Xu has no relevant conflicts of interest to declare.
Xue‐mei Chen has no relevant conflicts of interest to declare.
Chen‐kai Ma has no relevant conflicts of interest to declare.
Xiang‐rui Wang has no relevant conflicts of interest to declare.
Acknowledgements
The review authors wish to thank Dr Annette Swinkels and Ms Yi‐jing Lu for their helpful suggestions on the protocol for this review. The review authors wish to thank Ms Joanne Abbott for assistance in the search process. The review authors wish to thank Dr Tudor Phillips for his helpful suggestions on the review. The review authors wish to thank Ms Anna Hobson for her editorial support.
CRG Funding Acknowledgement: The National Institute for Health Research (NIHR) is the largest single funder of the Cochrane PaPaS Group. Disclaimer: The views and opinions expressed therein are those of the authors and do not necessarily reflect those of the NIHR, NHS or the Department of Health.
Version history
| Published | Title | Stage | Authors | Version |
| 2019 Aug 06 | Peripheral nerve blocks for postoperative pain after major knee surgery | Review | Jin Xu, Xue‐mei Chen, Chenkai Ma, Xiang‐rui Wang | |
| 2014 Dec 11 | Peripheral nerve blocks for postoperative pain after major knee surgery | Review | Jin Xu, Xue‐mei Chen, Chen‐kai Ma, Xiang‐rui Wang | |
| 2014 Jan 21 | Peripheral nerve blocks for postoperative pain after major knee surgery | Protocol | Jin Xu, Xue‐mei Chen, Chen‐kai Ma, Xiang‐rui Wang | |
Differences between protocol and review
Major knee surgery includes various types of operation. Peripheral nerve blocks may exert different effects on the participants undergoing different surgeries. We have therefore added a new subgroup analysis stratified by the types of surgery.
Notes
A restricted search in July 2016 did not identify any potentially relevant studies. Therefore, this review has now been stabilised. If appropriate, we will update the review if new evidence likely to change the conclusions is published, or if standards change substantially which necessitate major revisions.
Keywords
MeSH
Medical Subject Headings (MeSH) Keywords
Medical Subject Headings Check Words
Adult; Humans;
Study flow diagram.
Risk of bias graph: review authors' judgements about each risk of bias item presented as percentages across all included studies.
Risk of bias summary: review authors' judgements about each risk of bias item for each included study.
Comparison 1 Peripheral nerve blocks adjunctive to systemic analgesia versus systemic analgesia alone, Outcome 1 Pain intensity at rest (0 ‐ 23 hours postoperatively).
Comparison 1 Peripheral nerve blocks adjunctive to systemic analgesia versus systemic analgesia alone, Outcome 2 Pain intensity at rest (24 ‐ 47 hours postoperatively).
Comparison 1 Peripheral nerve blocks adjunctive to systemic analgesia versus systemic analgesia alone, Outcome 3 Pain intensity at rest (48 ‐ 72 hours postoperatively).
Comparison 1 Peripheral nerve blocks adjunctive to systemic analgesia versus systemic analgesia alone, Outcome 4 Pain intensity on movement (0 ‐ 23 hours postoperatively).
Comparison 1 Peripheral nerve blocks adjunctive to systemic analgesia versus systemic analgesia alone, Outcome 5 Pain intensity on movement (24 ‐ 47 hours postoperatively).
Comparison 1 Peripheral nerve blocks adjunctive to systemic analgesia versus systemic analgesia alone, Outcome 6 Pain intensity on movement (48 ‐ 72 hours postoperatively).
| Outcome or subgroup title | No. of studies | No. of participants | Statistical method | Effect size |
| 1 Pain intensity at rest (0 ‐ 23 hours postoperatively) Show forest plot | 7 | 390 | Mean Difference (IV, Random, 95% CI) | ‐11.85 [‐20.45, ‐3.25] |
| 1.1 Total knee arthroplasty | 3 | 183 | Mean Difference (IV, Random, 95% CI) | ‐19.50 [‐35.01, ‐3.99] |
| 1.2 Anterior cruciate ligament reconstruction | 3 | 167 | Mean Difference (IV, Random, 95% CI) | ‐2.82 [‐8.03, 2.38] |
| 1.3 Partial menisectomy arthroscopically | 1 | 40 | Mean Difference (IV, Random, 95% CI) | ‐15.60 [‐22.84, ‐8.36] |
| 2 Pain intensity at rest (24 ‐ 47 hours postoperatively) Show forest plot | 6 | 320 | Mean Difference (IV, Random, 95% CI) | ‐12.92 [‐19.82, ‐6.02] |
| 2.1 Total knee arthroplasty | 4 | 224 | Mean Difference (IV, Random, 95% CI) | ‐15.05 [‐24.11, ‐5.98] |
| 2.2 Anterior cruciate ligament reconstruction | 1 | 56 | Mean Difference (IV, Random, 95% CI) | ‐0.10 [‐11.59, 11.39] |
| 2.3 Partial menisectomy arthroscopically | 1 | 40 | Mean Difference (IV, Random, 95% CI) | ‐15.50 [‐22.27, ‐8.73] |
| 3 Pain intensity at rest (48 ‐ 72 hours postoperatively) Show forest plot | 4 | 210 | Mean Difference (IV, Random, 95% CI) | ‐9.72 [‐16.75, ‐2.70] |
| 3.1 Total knee arthroplasty | 3 | 154 | Mean Difference (IV, Random, 95% CI) | ‐13.73 [‐18.21, ‐9.26] |
| 3.2 Anterior cruciate ligament reconstruction | 1 | 56 | Mean Difference (IV, Random, 95% CI) | ‐0.5 [‐10.60, 9.60] |
| 4 Pain intensity on movement (0 ‐ 23 hours postoperatively) Show forest plot | 5 | 304 | Mean Difference (IV, Random, 95% CI) | ‐6.95 [‐15.92, 2.01] |
| 4.1 Total knee arthroplasty | 2 | 153 | Mean Difference (IV, Random, 95% CI) | ‐12.93 [‐26.62, 0.75] |
| 4.2 Anterior cruciate ligament reconstruction | 2 | 111 | Mean Difference (IV, Random, 95% CI) | 0.10 [‐7.49, 7.70] |
| 4.3 Partial menisectomy arthroscopically | 1 | 40 | Mean Difference (IV, Random, 95% CI) | ‐7.5 [‐19.91, 4.91] |
| 5 Pain intensity on movement (24 ‐ 47 hours postoperatively) Show forest plot | 3 | 182 | Mean Difference (IV, Random, 95% CI) | ‐8.87 [‐27.77, 10.03] |
| 6 Pain intensity on movement (48 ‐ 72 hours postoperatively) Show forest plot | 2 | 112 | Mean Difference (IV, Fixed, 95% CI) | ‐6.19 [‐11.76, ‐0.62] |
