The effects of continuous catheter adductor canal block for pain management in knee replacement therapy: a meta-analysis.

Jabur, A; Nam, HJ; Dixon, A; Cox, T; Randall, H; Sun, J

The effects of continuous catheter adductor canal block for pain management in knee replacement therapy: a meta-analysis.

Jabur, A Nam, HJ Dixon, A Cox, T Randall, H Sun, J

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Publisher:: SPRINGERNATURE
Publication Type:: Journal Article
Citation:: Knee Surg Relat Res, 2023, 35, (1), pp. 16
Issue Date:: 2023-06-01

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Field	Value	Language
dc.contributor.author	Jabur, A
dc.contributor.author	Nam, HJ
dc.contributor.author	Dixon, A
dc.contributor.author	Cox, T
dc.contributor.author	Randall, H
dc.contributor.author	Sun, J https://orcid.org/0000-0002-0097-2438
dc.date.accessioned	2024-03-27T04:00:10Z
dc.date.available	2023-04-25
dc.date.available	2024-03-27T04:00:10Z
dc.date.issued	2023-06-01
dc.identifier.citation	Knee Surg Relat Res, 2023, 35, (1), pp. 16
dc.identifier.issn	2234-0726
dc.identifier.issn	2234-2451
dc.identifier.uri	http://hdl.handle.net/10453/177249
dc.description.abstract	PURPOSE: Adductor canal block has emerged as a favourable element of multimodal analgesia regimens for total knee arthroplasty, due to the exclusive sensory blockade it provides. However, it is controversial as to whether a single shot or continuous technique adductor canal block is superior. This meta-analysis examined the effect of both these techniques on pain management associated with total knee arthroplasty. METHODS: All randomised controlled trials published on Cochrane Library, PubMed, and EMBASE, Scopus, and PsychINFO were systematically searched. The PEDro scale was used to assess the quality of studies. A total of 8 articles, 2 of which were split by subgroup analyses to create 10 studies, with 828 adults were selected for inclusion in the analysis. The mean difference and effect size with a 95% confidence interval (CI) were analysed for the pooled results. RESULTS: Statistically significant pooled effects of analgesia technique in favour of catheter use were found in the reduction of pain scores and VAS scores, and total rescue analgesia dosage. No significant changes were observed in the hospital stay time. Subgroup analysis revealed that patients with BMI 30 or more reported higher pain scores than those with BMI below 30. CONCLUSION: Based upon studies that are currently available, our meta-analysis appears to demonstrate that continuous administration of analgesia through an adductor canal catheter provides greater pain reduction in total knee arthroplasty than single shot analgesia. Despite these current findings, future studies with larger sample sizes and greater control of study parameters are required to confirm the current findings.
dc.format	Electronic
dc.language	eng
dc.publisher	SPRINGERNATURE
dc.relation.ispartof	Knee Surg Relat Res
dc.relation.isbasedon	10.1186/s43019-023-00188-0
dc.rights	info:eu-repo/semantics/openAccess
dc.subject.classification	3202 Clinical sciences
dc.title	The effects of continuous catheter adductor canal block for pain management in knee replacement therapy: a meta-analysis.
dc.type	Journal Article
utslib.citation.volume	35
utslib.location.activity	England
pubs.organisational-group	University of Technology Sydney
pubs.organisational-group	University of Technology Sydney/Faculty of Engineering and Information Technology
pubs.organisational-group	University of Technology Sydney/Faculty of Engineering and Information Technology/School of Computer Science
utslib.copyright.status	open_access	*
dc.date.updated	2024-03-27T04:00:06Z
pubs.issue	1
pubs.publication-status	Published online
pubs.volume	35
utslib.citation.issue	1

Abstract:

PURPOSE: Adductor canal block has emerged as a favourable element of multimodal analgesia regimens for total knee arthroplasty, due to the exclusive sensory blockade it provides. However, it is controversial as to whether a single shot or continuous technique adductor canal block is superior. This meta-analysis examined the effect of both these techniques on pain management associated with total knee arthroplasty. METHODS: All randomised controlled trials published on Cochrane Library, PubMed, and EMBASE, Scopus, and PsychINFO were systematically searched. The PEDro scale was used to assess the quality of studies. A total of 8 articles, 2 of which were split by subgroup analyses to create 10 studies, with 828 adults were selected for inclusion in the analysis. The mean difference and effect size with a 95% confidence interval (CI) were analysed for the pooled results. RESULTS: Statistically significant pooled effects of analgesia technique in favour of catheter use were found in the reduction of pain scores and VAS scores, and total rescue analgesia dosage. No significant changes were observed in the hospital stay time. Subgroup analysis revealed that patients with BMI 30 or more reported higher pain scores than those with BMI below 30. CONCLUSION: Based upon studies that are currently available, our meta-analysis appears to demonstrate that continuous administration of analgesia through an adductor canal catheter provides greater pain reduction in total knee arthroplasty than single shot analgesia. Despite these current findings, future studies with larger sample sizes and greater control of study parameters are required to confirm the current findings.

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http://hdl.handle.net/10453/177249