Adductor canal block combined with local infiltration analgesia versus isolated adductor canal block in reducing pain and opioid consumption after total knee arthroplasty: a systematic review and meta-analysis
| العنوان: | Adductor canal block combined with local infiltration analgesia versus isolated adductor canal block in reducing pain and opioid consumption after total knee arthroplasty: a systematic review and meta-analysis |
|---|---|
| المؤلفون: | Cuiyuan Huang, Zuofeng Wang, Shan Ou, Jianyong Lv |
| المصدر: | The Journal of International Medical Research Journal of International Medical Research, Vol 48 (2020) |
| بيانات النشر: | SAGE Publications, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Medicine (General), Adductor canal, Opioid consumption, Total knee arthroplasty, local infiltration analgesia, Biochemistry, 03 medical and health sciences, R5-920, 0302 clinical medicine, Pain control, medicine, Humans, 030212 general & internal medicine, Arthroplasty, Replacement, Knee, Pain, Postoperative, 030222 orthopedics, adductor canal block, business.industry, Biochemistry (medical), Nerve Block, Cell Biology, General Medicine, Analgesics, Opioid, medicine.anatomical_structure, Opioid, Anesthesia, Meta-analysis, opioid, Local infiltration, Analgesia, business, Meta-Analysis, medicine.drug |
| الوصف: | ObjectiveTo evaluate the efficacy and safety of the addition of local infiltration analgesia (LIA) to adductor canal block (ACB) for pain control after primary total knee arthroplasty (TKA).MethodsTwo reviewers independently searched for potentially relevant published studies using electronic databases, including PubMed® (1966 to June 2019), Embase® (1974 to June 2019) and Web of Science (1990 to June 2019). The results were pooled using the random-effects model to produce standard mean differences for continuous outcome data and odds ratio for categorical outcome data.ResultsA total of three randomized controlled trials (RCTs) and three non-RCTs were included for data extraction and meta-analysis. There were significant differences between the two groups regarding the postoperative pain score on postoperative day (POD) 0 and POD 1. The cumulative opioid consumption in the ACB plus LIA groups was significantly lower than that in the ACB groups on POD 0 and POD 1. No significant differences were found in terms of postoperative range of motion or length of hospitalization.ConclusionACB plus LIA significantly reduced the postoperative pain score on POD 0 and POD 1 compared with isolated ACB. In addition, ACB plus LIA was associated with a significant reduction in opioid consumption during the early postoperative period. |
| تدمد: | 1473-2300 0300-0605 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::7b2ec8bc1b6fb82d41034d6cc57cffdc https://doi.org/10.1177/0300060520926075 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....7b2ec8bc1b6fb82d41034d6cc57cffdc |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14732300 03000605 |
|---|