Regional anaesthesia

Prophylactic interventions to prevent rebound pain after peripheral nerve block in adults: a systematic review and network meta‐analysis of randomised controlled trials

AnaesthesiaPublished Systematic review and network meta-analysis of randomised controlled trials

Authors' conclusion

Intravenous dexamethasone was the most effective intervention for preventing rebound pain following single-injection peripheral nerve blocks.

Study context

Population
Adults undergoing surgery with peripheral nerve blocks
Participants
2,130 adults · 24 RCTs
Comparison
Pharmacological prophylactic interventions vs control
Outcome
Incidence of rebound pain

Pooled result

As reported in the abstract

GroupSUCRA
Intravenous dexamethasone0.91

Intravenous dexamethasone

SUCRA0.91

Further pooled results

Delay of rebound pain and time to first rescue analgesia

Perineural dexamethasone and perineural dexmedetomidine ranked highest for delaying rebound pain and prolonging time to first rescue analgesia

Pain severity, patient satisfaction, sleep disturbance

Reported inconsistently; could not be pooled

Original publication

Prophylactic interventions to prevent rebound pain after peripheral nerve block in adults: a systematic review and network meta‐analysis of randomised controlled trials. Anaesthesia. Published 26 May 2026. doi:10.1111/anae.70236

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