Analgesic comparison between perineural and intravenous dexamethasone for shoulder arthroscopy: a meta-analysis of randomized controlled trials

被引:8
|
作者
Huang, Liangku [1 ]
Li, Peng [1 ]
Zhang, Liang [3 ]
Kang, Guangming [1 ]
Zhou, Haizhen [2 ]
Zhao, Zandong [3 ]
机构
[1] Xi An Jiao Tong Univ, Xian Honghui Hosp, Dept Hand Surg, Hlth Sci Ctr, Xian 710054, Shaanxi, Peoples R China
[2] Xi An Jiao Tong Univ, Xian Honghui Hosp, Dept Orthopaed Oncol, Hlth Sci Ctr, Xian 710054, Shaanxi, Peoples R China
[3] Xi An Jiao Tong Univ, Xian Honghui Hosp, Sports Med Ctr, Hlth Sci Ctr, 555 Youyidong St, Xian 710054, Shaanxi, Peoples R China
关键词
Perineural dexamethasone; Intravenous dexamethasone; Shoulder arthroscopy; Pain management; Randomized controlled trials; BRACHIAL-PLEXUS BLOCK; POSTOPERATIVE PAIN-CONTROL; GUIDED INTERSCALENE BLOCK; ROTATOR CUFF REPAIR; DURATION; SURGERY; ROPIVACAINE; MANAGEMENT; QUALITY; VOLUME;
D O I
10.1186/s13018-022-02952-6
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Introduction The analgesic comparison between perineural and intravenous dexamethasone on interscalene block for pain management after shoulder arthroscopy remains controversial. We conduct this meta-analysis to explore the influence of perineural versus intravenous dexamethasone on interscalene block for pain control after shoulder arthroscopy. Methods We have searched PubMed, Embase, Web of science, EBSCO and Cochrane library databases through April 2021 and included randomized controlled trials (RCTs) assessing the effect of perineural and intravenous dexamethasone on interscalene block in patients with shoulder arthroscopy. Results Five RCTs were included in the meta-analysis. Overall, compared with intravenous dexamethasone for shoulder arthroscopy, perineural dexamethasone led to similar block duration (SMD = 0.12; 95% CI - 0.12 to 0.35; P = 0.33), pain scores at 12 h (SMD = - 0.67; 95% CI - 1.48 to 0.15; P = 0.11), pain scores at 24 h (SMD = - 0.33; 95% CI - 0.79 to 0.14; P = 0.17), opioid consumption (SMD = 0.01; 95% CI - 0.18 to 0.19; P = 0.95) and incidence of nausea/vomiting (OR = 0.74; 95% CI 0.38-1.44; P = 0.38). Conclusions Perineural and intravenous dexamethasone demonstrated comparable pain relief after shoulder arthroscopy.
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页数:7
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