Cardiothoracic & vascular anesthesia

High‐dose glucocorticoids in the treatment of postoperative pain after video‐assisted thoracoscopic surgery—protocol for systematic review and meta‐analysis

Acta Anaesthesiol ScandPublished Protocol for systematic review and meta-analysis of randomised trials

Study context

Population
Adults undergoing video-assisted thoracoscopic surgery (VATS)
Planned comparison
Higher-dose glucocorticoids vs lower doses, placebo or no treatment
Primary endpoint
Standardised dynamic pain scores
Follow-up
Within 24 h
Methodological detailsCochrane methodology, PRISMA, GRADE, trial sequential analysis, sensitivity and subgroup analyses, Secondary outcomes: opioid use, time to first mobilisation, hospital LOS, NRS >3 within first 24 h, Exploratory outcomes: opioid- and glucocorticoid-related adverse effects (major and minor)
  • Cochrane methodology
  • PRISMA
  • GRADE
  • Trial sequential analysis
  • Sensitivity and subgroup analyses
  • Secondary outcomes: opioid use, time to first mobilisation, hospital LOS, NRS >3 within first 24 h
  • Exploratory outcomes: opioid- and glucocorticoid-related adverse effects (major and minor)

No results yet. This paper sets out the design of a trial; its results are to come.

Original publication

High‐dose glucocorticoids in the treatment of postoperative pain after video‐assisted thoracoscopic surgery—protocol for systematic review and meta‐analysis. Acta Anaesthesiol Scand. Published 23 January 2025. doi:10.1111/aas.14577

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