Findings

What do systematic reviews say?

13 questions · 13 findings · 5 reviews

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No studies found 0 · 0%GRADE not reported 3 · 23.1%Very low 1 · 7.7%Low 4 · 30.8%Moderate 3 · 23.1%High 2 · 15.4%

Epidural pain relief vs systemic opioid‐based pain relief

Pain (VAS scores) on movement at postoperative day 1 Scale from: 0 to 10. · people undergoing abdominal aortic surgery

1 finding from 1 review

Epidural pain relief versus systemic opioid‐based pain relief for abdominal aortic surgery 2016 · Cochrane Headline outcomes only
no estimate extracted
3 studies · 162 participants
High

Epidural pain relief vs systemic opioid‐based pain relief

Mortality in hospital or up to 30 days · people undergoing abdominal aortic surgery

Epidural pain relief showed no clear difference in mortality in hospital or up to 30 days compared with systemic opioid‐based pain relief (low certainty).

1 finding from 1 review

Epidural pain relief versus systemic opioid‐based pain relief for abdominal aortic surgery 2016 · Cochrane Headline outcomes only
RR 1.06 [0.6, 1.86]
14 studies · 1383 participants
Low

Epidural pain relief vs systemic opioid‐based pain relief

Myocardial infarction · people undergoing abdominal aortic surgery

Epidural pain relief probably leads to lower myocardial infarction compared with systemic opioid‐based pain relief (moderate certainty).

1 finding from 1 review

Epidural pain relief versus systemic opioid‐based pain relief for abdominal aortic surgery 2016 · Cochrane Headline outcomes only
RR 0.54 [0.3, 0.97]
7 studies · 851 participants
Moderate

Epidural pain relief vs systemic opioid‐based pain relief

Duration of tracheal intubation · people undergoing abdominal aortic surgery

1 finding from 1 review

Epidural pain relief versus systemic opioid‐based pain relief for abdominal aortic surgery 2016 · Cochrane Headline outcomes only
no estimate extracted
8 studies · 975 participants
Low

Epidural pain relief vs systemic opioid‐based pain relief

Respiratory failure · people undergoing abdominal aortic surgery

Epidural pain relief probably leads to lower respiratory failure compared with systemic opioid‐based pain relief (moderate certainty).

1 finding from 1 review

Epidural pain relief versus systemic opioid‐based pain relief for abdominal aortic surgery 2016 · Cochrane Headline outcomes only
RR 0.69 [0.56, 0.85]
6 studies · 861 participants
Moderate

Epidural pain relief vs systemic opioid‐based pain relief

Gastrointestinal bleeding · people undergoing abdominal aortic surgery

Epidural pain relief leads to lower gastrointestinal bleeding compared with systemic opioid‐based pain relief (high certainty).

1 finding from 1 review

Epidural pain relief versus systemic opioid‐based pain relief for abdominal aortic surgery 2016 · Cochrane Headline outcomes only
OR 0.2 [0.06, 0.65]
4 studies · 487 participants
High

Epidural pain relief vs systemic opioid‐based pain relief

Length of critical care stay (hours) · people undergoing abdominal aortic surgery

1 finding from 1 review

Epidural pain relief versus systemic opioid‐based pain relief for abdominal aortic surgery 2016 · Cochrane Headline outcomes only
no estimate extracted
3 studies · 523 participants
Moderate

Epidural vs opioid

Satisfaction with pain relief · women in labour

Epidural may leads to higher satisfaction with pain relief ‐ proportion rating excellent or very… compared with opioids (low certainty).

1 finding from 1 review

Epidural versus non‐epidural or no analgesia for pain management in labour 2018 · Cochrane Headline outcomes only
RR 1.47 [1.03, 2.08]
7 studies · 1911 participants
Low

Self‐hypnosis or hypnotherapy vs all

Satisfaction with pain relief · pregnant women

1 finding from 1 review

Hypnosis for pain management during labour and childbirth 2016 · Cochrane Headline outcomes only
no estimate extracted
1 study · 127 participants
Low

Intermittent ausculation of fetal heart rate in labour for fetal well‐being ‐ Intermittent electronic fetal monitoring (CTG) vs routine Pinard (outcomes

Epidural anaesthesia for pain relief excluding for caesarean section · women in established labour and their babies.

1 finding from 1 review

Intermittent auscultation (IA) of fetal heart rate in labour for fetal well‐being 2017 · Cochrane Headline outcomes only
no estimate extracted
0 studies · 0 participants
GRADE not reported

Intermittent ausculation of fetal heart rate in labour for fetal well‐being ‐ Doppler vs routine Pinard (outcomes

Epidural anaesthesia for pain relief excluding for caesarean section · women in established labour and their babies.

1 finding from 1 review

Intermittent auscultation (IA) of fetal heart rate in labour for fetal well‐being 2017 · Cochrane Headline outcomes only
no estimate extracted
0 studies · 0 participants
GRADE not reported

Intermittent ausculation of fetal heart rate in labour for fetal well‐being ‐ Intensive Pinard vs routine Pinard (outcomes

Epidural anaesthesia for pain relief excluding for caesarean section · women in established labour and their babies.

1 finding from 1 review

Intermittent auscultation (IA) of fetal heart rate in labour for fetal well‐being 2017 · Cochrane Headline outcomes only
no estimate extracted
0 studies · 0 participants
GRADE not reported

Remifentanil (PCA) vs epidural/CSE

Satisfaction with pain relief · women in labour with planned vaginal delivery

1 finding from 1 review

Patient‐controlled analgesia with remifentanil versus alternative parenteral methods for pain management in labour 2017 · Cochrane Headline outcomes only
no estimate extracted
7 studies · 2135 participants
Very low