| Popis: |
Introduction: The analgesic comparison of supraclavicular versus interscalene brachial plexus block (SCBB versus ISBB) for pain management of shoulder arthroscopy remains controversial. We conduct a systematic review and meta-analysis to explore the influence of SCBB versus ISBB on the postoperative pain intensity of shoulder arthroscopy. Methods We have searched PubMed, EMbase, Web of science, EBSCO, and Cochrane library databases through March 2021 for randomized controlled trials (RCTs) assessing the effect of SCBB versus ISBB on pain control of shoulder arthroscopy. This meta-analysis is performed using the random-effect model. Results Six RCTs are included in the meta-analysis. Overall, compared with ISBB for shoulder arthroscopy, SCBB leads to similar pain scores at 24 h (SMD = 0.07; 95% CI=-0.14 to 0.28; P = 0.52) and additional analgesic requirement (SMD=-0.22; 95% CI=-0.52 to 0.09; P = 0.16), but results in increased onset time of block (SMD = 1.77; 95% CI = 0.21 to 3.34; P = 0.25), decreased incidence of horner’s syndrome (OR = 0.25; 95% CI = 0.10 to 0.64; P = 0.003) and adverse events (OR = 0.25; 95% CI = 0.11 to 0.58; P = 0.001). Conclusions SCBB demonstrated comparable pain control after shoulder arthroscopy compared to ISBB, with lower incidence of adverse events. |
