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A Systematic Review and Meta-Analysis of Caudal Block as Compared to Noncaudal Regional Techniques for Inguinal Surgeries in Children
Joint Authors
Guyatt, Gordon
Shanthanna, Harsha
Singh, Balpreet
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-17, 17 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-08-05
Country of Publication
Egypt
No. of Pages
17
Main Subjects
Abstract EN
This systematic review and meta-analysis were designed to compare the analgesic effectiveness and adverse effects with the use of caudal analgesia as compared to noncaudal regional analgesia techniques in children undergoing inguinal surgeries.
MEDLINE, EMBASE, and CENTRAL (Cochrane) databases were searched for randomized control trials published in English language from 1946 up to 2013.
Use of rescue analgesia and adverse effects were considered as primary and secondary outcomes, respectively.
Outcomes were pooled using random effects model and reported as risk ratio (RR) with 95% CI.
Out of 3240 hits and 24 reports for final selection, 17 were included in this review.
Caudal analgesia was found to be better in both early (RR = 0.81 [0.66, 0.99], P=0.04) and late (RR = 0.81 [0.69, 0.96], P=0.01) periods, but with a significant risk of motor block and urinary retention.
According to GRADE, the quality of evidence was moderate.
Although potentially superior, caudal analgesia increases the chance of motor block and urinary retention.
There are limited studies to demonstrate that the technical superiority using ultrasound translates into better clinical success with the inguinal nerve blocks.
American Psychological Association (APA)
Shanthanna, Harsha& Singh, Balpreet& Guyatt, Gordon. 2014. A Systematic Review and Meta-Analysis of Caudal Block as Compared to Noncaudal Regional Techniques for Inguinal Surgeries in Children. BioMed Research International،Vol. 2014, no. 2014, pp.1-17.
https://search.emarefa.net/detail/BIM-505746
Modern Language Association (MLA)
Shanthanna, Harsha…[et al.]. A Systematic Review and Meta-Analysis of Caudal Block as Compared to Noncaudal Regional Techniques for Inguinal Surgeries in Children. BioMed Research International No. 2014 (2014), pp.1-17.
https://search.emarefa.net/detail/BIM-505746
American Medical Association (AMA)
Shanthanna, Harsha& Singh, Balpreet& Guyatt, Gordon. A Systematic Review and Meta-Analysis of Caudal Block as Compared to Noncaudal Regional Techniques for Inguinal Surgeries in Children. BioMed Research International. 2014. Vol. 2014, no. 2014, pp.1-17.
https://search.emarefa.net/detail/BIM-505746
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-505746