Peripheral regional anaesthesia and outcomes: a narrative review of the literature from 2013 to 2023
Authors' conclusion
In the past 10 yr, there has been a consolidation of the evidence indicating benefit of peripheral nerve blocks for specific indications.
Study context
- Population
- Adults undergoing surgery
- Participants
- 128 studies
- Comparison
- Peripheral RA blocks vs systemic analgesia
Methodological detailsLiterature search of MEDLINE and EMBASE for RCTs and other comparative trials, 10-yr period from 2013
- Literature search of MEDLINE and EMBASE for RCTs and other comparative trials, 10-yr period from 2013
Main finding
As reported in the abstract
- Considerable evidence supports interscalene blocks for shoulder surgery
- Saphenous nerve (motor-sparing) blocks provide satisfactory analgesia after knee surgery; preferred to femoral nerve blocks
- Efficacy demonstrated for cervical plexus, intercostal nerve and ilioinguinal/iliohypogastric nerve blocks in additional surgical indications
- Variability remains in technical conduct of blocks and outcomes used to evaluate them
Safety
- Femoral nerve blocks associated with falls when patients mobilised early within enhanced recovery programmes
Original publication
Peripheral regional anaesthesia and outcomes: a narrative review of the literature from 2013 to 2023. Br J Anaesth. Published 11 November 2023. doi:10.
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