Cochrane · systematic review · CD009121
Paravertebral block versus thoracic epidural for patients undergoing thoracotomy
Yeung, JHY, Gates, S, Naidu, BV, et al. · Cochrane Database of Systematic Reviews · 2016 · Cochrane Library
AnaesthesiaAMSTAR 2: not assessed
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
11
current version
GRADE rated
11
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 3 · 27.3%Moderate 8 · 72.7%High 0 · 0%
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
Paravertebral blockade compared to thoracic epidural blockade for patients undergoing thoracotomy (30‐day mortality and major complications)
Population: Patients undergoing thoracotomy
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
30‐day mortality Paravertebral blockade vs thoracic epidural blockade | RR 1.28 [0.39, 4.24] | 2 studies · 125 participants | Low Downgraded: imprecision |
Cardiovascular complications Paravertebral blockade vs thoracic epidural blockade | RR 0.3 [0.01, 6.62] | 2 studies · 114 participants | Low Downgraded: imprecision |
Respiratory complications Paravertebral blockade vs thoracic epidural blockade | RR 0.62 [0.26, 1.52] | 5 studies · 280 participants | Low Downgraded: imprecision |
Neurological complication (Delirium) Paravertebral blockade vs thoracic epidural blockade | RR 0.3 [0.09, 0.99] | 2 studies · 125 participants | Moderate Downgraded: imprecision |
Paravertebral blockade compared to thoracic epidural blockade for patients undergoing thoracotomy (acute pain)
Population: Patients undergoing thoracotomy
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
VAS score at 2 ‐ 6 hours (at rest) Score from 0 ‐ 10 Paravertebral blockade vs thoracic epidural blockade | no estimate extracted | 6 studies · 239 participants | Moderate Downgraded: risk of bias |
VAS score at 2 ‐ 6 hours (on coughing/after physiotherapy) Score from 0 ‐ 10 Paravertebral blockade vs thoracic epidural blockade | no estimate extracted | 3 studies · 126 participants | Moderate Downgraded: risk of bias |
VAS score at 24 hours (at rest) Score from 0 ‐ 10 Paravertebral blockade vs thoracic epidural blockade | no estimate extracted | 6 studies · 239 participants | Moderate Downgraded: risk of bias |
VAS score at 24 hours (on coughing/after physiotherapy) Score from 0 ‐ 10 Paravertebral blockade vs thoracic epidural blockade | no estimate extracted | 3 studies · 126 participants | Moderate Downgraded: risk of bias |
VAS scores at 48 hours (at rest) Score from 0 ‐ 10 Paravertebral blockade vs thoracic epidural blockade | no estimate extracted | 5 studies · 220 participants | Moderate Downgraded: risk of bias |
VAS scores at 48 hours (on coughing/after physiotherapy) Score from 0 ‐ 10 Paravertebral blockade vs thoracic epidural blockade | no estimate extracted | 3 studies · 126 participants | Moderate Downgraded: risk of bias |
Failure of technique (Number of participants) Paravertebral blockade vs thoracic epidural blockade | RR 0.27 [0.09, 0.86] | 4 studies · 199 participants | Moderate Downgraded: risk of bias |