The concept of pre-emptive balanced analgesia in ambulatory foot surgery: results of a prospective study

Arnold, H.; Weber, Jutta; Hoesslin, H. Von

doi:10.1046/j.1460-9584.2000.00180.x

Cited by 2 publications

(2 citation statements)

References 16 publications

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“…This supports the clinical evidence that patients who wake up comfortably tend to remain so and those that wake up in pain are difficult to get comfortable [23,24]. Over one-third of the patients in this study were treated as daycases, for whom pre-emptive analgesia and the avoidance of the need for strong opiates is particularly beneficial [25].…”

Section: Discussionsupporting

confidence: 81%

Ankle block for forefoot surgery: patient choice and efficacy

Kelly¹,

Rudkin²,

Dracopoulos³

2000

Foot and Ankle Surgery

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Section: Discussionsupporting

confidence: 81%

Ankle block for forefoot surgery: patient choice and efficacy

Kelly¹,

Rudkin²,

Dracopoulos³

2000

Foot and Ankle Surgery

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“…Thus, nine studies with a total of 802 patients were included in our meta-analysis (Figure 1). these, seven studies were further excluded because one study did not compare PNBs versus SA [22], and six were not RCTs [5,[23][24][25][26][27]. The kappa value for selecting articles between the two investigators was 0.875.…”

Section: Study Selectionmentioning

confidence: 99%

Comparison of a Peripheral Nerve Block versus Spinal Anesthesia in Foot or Ankle Surgery: A Systematic Review and Meta-Analysis with a Trial Sequential Analysis

Lee

Kim

et al. 2023

JPM

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Background: This systematic review and meta-analysis with trial sequential analysis (TSA) aimed to compare perioperative outcomes of peripheral nerve blocks (PNBs) and spinal anesthesia (SA) in elective foot and ankle surgery. Methods: The study protocol was registered in PROSPERO (CRD42021229597). Researchers independently searched PubMed, EMBASE, and the Cochrane Central Register of Controlled Trials for relevant randomized controlled trials (RCTs). Results: Analysis of nine RCTs (n = 802; 399 PNBs, 403 SA) revealed significantly shorter block performance times (WMD: 7.470; 95% CI 6.072 to 8.868), the onset of sensory (WMD: 7.483; 95% CI 2.837 to 12.130) and motor blocks (WMD: 9.071; 95% CI 4.049 to 14.094), durations of sensory (WMD: 458.53; 95% CI 328.296 to 588.765) and motor blocks (WMD: 247.416; 95% CI 95.625 to 399.208), and significantly higher postoperative analgesic requirements (SMD: −1.091; 95% CI −1.634 to −0.549) in the SA group. Additionally, systolic blood pressure (SBP) at 30 min (WMD: 13.950; 95% CI 4.603 to 23.298) was lower in the SA group. Conclusion(s): The SA demonstrated shorter block performance time, faster onset and shorter duration of sensory and motor blocks, higher postoperative analgesic requirements, and lower SBP at 30 min compared to PNBs in elective foot and ankle surgery.

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The concept of pre-emptive balanced analgesia in ambulatory foot surgery: results of a prospective study

Cited by 2 publications

References 16 publications

Ankle block for forefoot surgery: patient choice and efficacy

Ankle block for forefoot surgery: patient choice and efficacy

Comparison of a Peripheral Nerve Block versus Spinal Anesthesia in Foot or Ankle Surgery: A Systematic Review and Meta-Analysis with a Trial Sequential Analysis

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