Cochrane · systematic review · CD005487
Infraclavicular brachial plexus block for regional anaesthesia of the lower arm
Chin, KJ, Alakkad, H, Adhikary, SD, et al. · Cochrane Database of Systematic Reviews · 2013 · Cochrane Library
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
6
current version
GRADE rated
6
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 0 · 0%Moderate 2 · 33.3%High 4 · 66.7%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Current version onlyinfraclavicular block versus all other brachial plexus blocks for regional anaesthesia of the lower arm
Population: patients with regional anaesthesia of the lower arm
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Adequate surgical anaesthesia ‐ At 30 minutes post‐block assessment interval infraclavicular block vs all other brachial plexus blocks | RR 0.88 [0.51, 1.52] | 14 studies · 1051 participants | High |
Supplementation required to achieve adequate surgical anaesthesia infraclavicular block vs all other brachial plexus blocks | RR 0.95 [0.62, 1.46] | 17 studies · 1412 participants | High |
Tourniquet pain infraclavicular block vs all other brachial plexus blocks | RR 0.66 [0.47, 0.92] | 8 studies · 615 participants | High |
Onset time of adequate surgical anaesthesia (minutes) infraclavicular block vs all other brachial plexus blocks | no estimate extracted | 9 studies · 726 participants | Moderate |
Block performance time (minutes) ‐ multiple‐injection axillary block infraclavicular block vs all other brachial plexus blocks | no estimate extracted | 6 studies · 391 participants | High |
Block performance time (minutes) ‐ mid‐humeral block infraclavicular block vs all other brachial plexus blocks | no estimate extracted | 2 studies · 224 participants | Moderate |
Infraclavicular block versus other upper limb blocks for regional anaesthesia of the lower arm
Population: patients with regional anaesthesia of the lower arm
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Adequate surgical anaesthesia from block alone 30 minutes post‐block Infraclavicular block vs other upper limb blocks | RR 1.39 [0.93, 2.08] | 9 studies · 650 participants | High |
Supplementation required for surgical anaesthesia Infraclavicular block vs other upper limb blocks | RR 1.45 [1.02, 2.04] | 11 studies · 813 participants | High |
Tourniquet pain Infraclavicular block vs other upper limb blocks | RR 0.47 [0.24, 0.92] | 5 studies · 359 participants | High |
Onset time of surgical anaesthesia Infraclavicular block vs other upper limb blocks | no estimate extracted | 4 studies · 335 participants | Moderate |
Block performance time: infraclavicular vs single‐injection axillary block Infraclavicular block vs other upper limb blocks | no estimate extracted | 2 studies · 90 participants | High |
Block performance time: infraclavicular block versus multiple‐injection neurostimulation‐guided blocks Infraclavicular block vs other upper limb blocks | no estimate extracted | 5 studies · 433 participants | High |
Complications of block Infraclavicular block vs other upper limb blocks | RR 0.84 [0.56, 1.27] | 15 studies · 3472 participants | High |