Cochrane · systematic review · CD012262

Adductor canal blocks for postoperative pain treatment in adults undergoing knee surgery

Schnabel, A, Reichl, SU, Weibel, S, et al. · Cochrane Database of Systematic Reviews · 2019 · 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
12
current version
GRADE rated
12
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 3 · 25%Low 8 · 66.7%Moderate 0 · 0%High 1 · 8.3%

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

Comparison

Population: adult participants undergoing knee surgery (arthroscopic knee surgery or total knee replacement)
6 questions
OutcomeEffectEvidenceStatus / GRADE
Postoperative pain at rest (VAS 0 to 100 mm, NRS 0 to 10) (2 hours)
no estimate extracted4 studies · 208 participantsLow
Downgraded: inconsistency
Postoperative pain at rest (VAS 0 to 100 mm, NRS 0 to 10) (24 hours)
no estimate extracted6 studies · 272 participantsLow
Downgraded: inconsistency
Postoperative pain during movement (VAS 0 to 100 mm, NRS 0 to 10) (2 hours)
no estimate extracted3 studies · 160 participantsVery low
Downgraded: imprecision, inconsistency
Postoperative pain during movement (VAS 0 to 100 mm, NRS 0 to 10) (24 hours)
no estimate extracted4 studies · 184 participantsLow
Downgraded: imprecision, inconsistency
Postoperative nausea (24 hours)
RR 1.91 [0.48, 7.58]3 studies · 121 participantsLow
Downgraded: imprecision, inconsistency
Accidental falls during postoperative care (24 hours)
no estimate extracted1 study · 48 participantsLow
Downgraded: imprecision, inconsistency

Comparison

Population: adult participants undergoing knee surgery (arthroscopic knee surgery or total knee replacement)
6 questions
OutcomeEffectEvidenceStatus / GRADE
Postoperative pain at rest (VAS 0 to 100 mm, NRS 0 to 10) (2 hours)
no estimate extracted5 studies · 298 participantsLow
Downgraded: inconsistency
Postoperative pain at rest (VAS 0 to 100 mm, NRS 0 to 10) (24 hours)
no estimate extracted12 studies · 868 participantsHigh
Postoperative pain during movement (VAS 0 to 100 mm, NRS 0 to 10) (2 hours)
no estimate extracted2 studies · 88 participantsVery low
Downgraded: imprecision, inconsistency
Postoperative pain during movement (VAS 0 to 100 mm, NRS 0 to 10) (24 hours)
no estimate extracted9 studies · 576 participantsVery low
Downgraded: imprecision, inconsistency
Postoperative nausea (24 hours)
no estimate extracted2 studies · 138 participantsLow
Downgraded: imprecision, inconsistency
Accidental falls during postoperative care (24 hours)
no estimate extracted3 studies · 172 participantsLow
Downgraded: imprecision, inconsistency