Titre

The analgesic efficacy of sciatic nerve block in addition to femoral nerve block in patients undergoing total knee arthroplasty: a systematic review and meta-analysis.

Type
article
Institution
UNIL/CHUV/Unisanté + institutions partenaires
Périodique
Auteur(s)
Grape, S.
Auteure/Auteur
Kirkham, K.R.
Auteure/Auteur
Baeriswyl, M.
Auteure/Auteur
Albrecht, E.
Auteure/Auteur
Liens vers les personnes
Liens vers les unités
ISSN
1365-2044
Statut éditorial
Publié
Date de publication
2016
Volume
71
Numéro
10
Première page
1198
Dernière page/numéro d’article
1209
Peer-reviewed
Oui
Langue
anglais
Notes
Publication types: Journal Article ; Review
Publication Status: ppublish
Résumé
The aim of this meta-analysis was to assess the postoperative analgesic efficacy of sciatic nerve block when combined with femoral nerve block after total knee arthroplasty. Outcomes included resting pain scores (analogue scale, 0-100), intravenous morphine consumption at 12 h, 24 h and 48 h postoperatively, and functional outcomes comprising knee flexion, distance walked, and length of stay. Twelve randomised controlled trials were included, with a total of 600 patients. When combined with femoral nerve block, sciatic nerve block significantly reduced resting pain scores at 12 h postoperatively with a mean difference of 10 (95% CI: -15 to -5; p < 0.00001). Resting pain scores at 24 h, and intravenous morphine consumption at 12 h, 24 h and 48 h postoperatively were also significantly reduced, but without clinical significance beyond 12 h and without affecting functional outcomes. In conclusion, sciatic nerve block confers additional postoperative analgesia within the first 12 postoperative hours compared with femoral nerve block alone for patients undergoing total knee arthroplasty.
PID Serval
serval:BIB_97022B628726
DOI
PMID
WOS
Permalien
Open Access
Oui
Date de création
2016-08-05T15:34:22.332Z
Date de création dans IRIS
2025-05-20T21:07:23Z
Fichier(s)
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Vignette d'image
Nom

Kirkham LIA vs FNB 2017.pdf

Version du manuscrit

published

Licence

https://iris.unil.ch/disclaimer

Taille

756.99 KB

Format

Adobe PDF

PID Serval

serval:BIB_97022B628726.P001

URN

urn:nbn:ch:serval-BIB_97022B6287263

Somme de contrôle

(MD5):d7ca468db777c2e0bae6288f250aebae