Cochrane · systematic review · CD012968

Paravertebral anaesthesia with or without sedation versus general anaesthesia for women undergoing breast cancer surgery

Chhabra, A, Roy Chowdhury, A, Prabhakar, H, et al. · Cochrane Database of Systematic Reviews · 2021 · Cochrane Library

Breast CancerAMSTAR 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
7
current version
GRADE rated
6
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 1 · 14.3%Very low 0 · 0%Low 4 · 57.1%Moderate 2 · 28.6%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 anaesthesia with or without sedation compared to general anaesthesia for women undergoing breast cancer surgery

Population: women undergoing breast cancer surgery
7 questions
OutcomeEffectEvidenceStatus / GRADE
Postoperative analgesic requirement
Paravertebral anaesthesia with or without sedation vs general anaesthesia
OR 0.07 [0.01, 0.34]5 studies · 305 participantsLow
Downgraded: risk of bias, imprecision
Postoperative nausea and vomiting (PONV)
Paravertebral anaesthesia with or without sedation vs general anaesthesia
OR 0.16 [0.08, 0.3]6 studies · 323 participantsModerate
Downgraded: risk of bias, imprecision, inconsistency
Postoperative pain at 2 hours
Paravertebral anaesthesia with or without sedation vs general anaesthesia
no estimate extracted4 studies · 224 participantsModerate
Downgraded: risk of bias, imprecision, inconsistency
Postoperative pain at 24 hours on rest
Paravertebral anaesthesia with or without sedation vs general anaesthesia
no estimate extracted3 studies · 169 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
Postoperative pain at 6 hours on movement
Paravertebral anaesthesia with or without sedation vs general anaesthesia
no estimate extracted2 studies · 130 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
Postoperative pain at 24 hours on movement
Paravertebral anaesthesia with or without sedation vs general anaesthesia
no estimate extracted2 studies · 130 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
Mortality
Paravertebral anaesthesia with or without sedation vs general anaesthesia
no estimate extracted9 studies · 9 participantsUngraded