Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

2,191 questions · 2,354 findings · 362 reviews

No studies found 323 · 13.7%GRADE not reported 382 · 16.2%Very low 555 · 23.6%Low 597 · 25.4%Moderate 345 · 14.7%High 152 · 6.5%

Double vs single‐injection technique

Primary anaesthesia failure (incomplete sensory block) · Adult patients undergoing hand, wrist or forearm surgery

Double leads to lower primary anaesthesia failure (incomplete sensory block) compared with single‐injection technique (high certainty).

1 finding from 1 review

Multiple vs single‐injection technique

Secondary analgesia failure : Tourniquet pain · Adult patients undergoing hand, wrist or forearm surgery

Multiple showed no clear difference in secondary analgesia failure ‐ tourniquet pain compared with single‐injection technique (high certainty).

1 finding from 1 review