Pain medicine

Comparing the analgesic effect of regional nerve block technique in laparoscopic nephrectomy: A systematic review and network meta-analysis

J Clin AnesthPublished Systematic review and network meta-analysis of randomised controlled trials

Authors' conclusion

Analysis of existing evidence suggests that PreOp QLB demonstrates a superior advantage over other interventions, significantly reducing 24-h postoperative OME, 6-h postoperative OME, rescue analgesia usage, and the incidence of postoperative nausea and vomiting, as well as extending time to first opioid use.

Study context

Population
Patients undergoing laparoscopic nephrectomy
Comparison
Regional nerve block techniques for post-laparoscopic nephrectomy pain
Outcome
Cumulative oral morphine equivalent (OME) consumption
Follow-up
24 h postoperatively
Methodological detailsBayesian framework
  • Bayesian framework

Pooled result

As reported in the abstract

24-h postoperative OME consumption · 24 h
MD (95 % CI)
PreOp QLBlow-quality evidence
−31.23(−54.99 to −9.95)
PreOp ESBmoderate-quality evidence
−44.44(−88.03 to −0.97)

Further pooled results

Direct comparisons: Oral morphine equivalent (OME) at 24 h, 6 h and intraop, time to first opioid, patient satisfaction, PONV

Interventions reduced OME at 24 h, 6 h and intraop, extended time to first opioid use, improved patient satisfaction and reduced PONV

Original publication

Comparing the analgesic effect of regional nerve block technique in laparoscopic nephrectomy: A systematic review and network meta-analysis. J Clin Anesth. Published 7 April 2025. doi:10.1016/j.jclinane.2025.111829

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