Single-Dose Intra-Articular Morphine After Arthroscopic Knee Surgery: A Meta-Analysis of Randomized Placebo-Controlled Studies

2013 ◽  
Vol 29 (8) ◽  
pp. 1450-1458.e2 ◽  
Author(s):  
Chao Zeng ◽  
Shu-guang Gao ◽  
Ling Cheng ◽  
Wei Luo ◽  
Yu-sheng Li ◽  
...  
Keyword(s):  
Single Dose ◽  
Meta Analysis ◽  
Knee Surgery ◽  
Arthroscopic Knee Surgery ◽  
Arthroscopic Knee

scholarly journals The efficacy of intra-articular fentanyl supplementation for knee arthroscopy: A meta-analysis of randomized controlled studies

2020 ◽  
Vol 28 (1) ◽  
pp. 230949901990027 ◽  
Author(s):  
Jian-Zuo Lu ◽  
Jia-Xing Fu ◽  
Da-feng Wang ◽  
Zhong-Liang Su ◽  
Yuan-Bo Zheng
Keyword(s):  
Pain Control ◽  
Knee Arthroscopy ◽  
Meta Analysis ◽  
Knee Surgery ◽  
Cochrane Library ◽  
Arthroscopic Knee Surgery ◽  
Substantial Impact ◽  
Randomized Controlled ◽  
Pain Scores ◽  
Arthroscopic Knee

Introduction: The efficacy of intra-articular fentanyl supplementation for pain control after knee arthroscopy remains controversial. We conduct a systematic review and meta-analysis to explore the influence of intra-articular fentanyl supplementation for pain intensity after arthroscopic knee surgery. Methods: We searched PubMed, EMbase, Web of Science, EBSCO, and Cochrane Library databases through May 2019 for randomized controlled trials (RCTs) assessing the efficacy and safety of intra-articular fentanyl supplementation for arthroscopic knee surgery. This meta-analysis is performed using the random-effects model. Results: Four RCTs are included in the meta-analysis. Overall, compared with control group after knee arthroscopy, intra-articular fentanyl supplementation is associated with reduced pain scores at 1 h (standard mean difference (Std MD) = −3.50; 95% confidence interval (CI) = −5.68 to −1.32; p = 0.002), 2 h (Std MD = −4.73; 95% CI = −8.75 to −0.71; p = 0.02), and 8 h (Std MD = −5.02; 95% CI = −9.73 to −0.30; p = 0.04) but shows no substantial impact on pain scores at 4 h (Std MD = −3.94; 95% CI = −7.93 to 0.05; p = 0.05) or the supplementary analgesia (risk ratio = 0.56; 95% CI = 0.09–3.59; p = 0.54). Conclusions: Intra-articular fentanyl supplementation does benefit in pain control after knee arthroscopy.

scholarly journals The efficacy of spinal anaesthesia with fentanyl supplementation for arthroscopic knee surgery: A meta-analysis of randomized controlled studies

2020 ◽  
Vol 28 (2) ◽  
pp. 230949901989036
Author(s):  
Jianfeng Chen ◽  
Chao Yan ◽  
Chaosong Luo ◽  
Guizhen Li ◽  
Zong Yang
Keyword(s):  
Spinal Anaesthesia ◽  
Knee Arthroscopy ◽  
Meta Analysis ◽  
Onset Time ◽  
Knee Surgery ◽  
Cochrane Library ◽  
Control Group ◽  
Arthroscopic Knee Surgery ◽  
Randomized Controlled ◽  
Arthroscopic Knee

Introduction: The efficacy of spinal anaesthesia with fentanyl supplementation for arthroscopic knee surgery remains controversial. We conducted a systematic review and meta-analysis to explore the influence of fentanyl supplementation for arthroscopic knee surgery. Methods: We searched PubMed, Embase, Web of Science, EBSCO and Cochrane Library databases through May 2019 for randomized controlled trials (RCTs) assessing the efficacy and safety of fentanyl supplementation for arthroscopic knee surgery. This meta-analysis is performed using the random-effects model. Results: Five RCTs are included in the meta-analysis. Overall, compared with the control group for knee arthroscopy, fentanyl supplementation is associated with decreased time for sensory block regression to S1 (mean difference (MD) = −47.38; 95% confidence interval (CI) = −56.74 to −38.02; p < 0.00001), first ambulation (MD = −41.65; 95% CI = −65.11 to −18.19; p = 0.0005), first urination (MD = −23.45; 95% CI = −32.16 to −14.74; p < 0.00001) and hospital discharge (MD = −29.39; 95% CI = −44.73 to −14.06; p = 0.0002) but has no substantial influence on onset time of anaesthesia (MD = 0.50; 95% CI = −1.71 to 2.70; p = 0.66), duration for motor blockade (MD = −42.56; 95% CI = −119.18 to 34.07; p = 0.28), pruritus (risk ratio (RR) = 2.17; 95% CI = 0.28 to 16.90; p = 0.46) or nausea (RR = 0.42; 95% CI = 0.10 to 1.81; p = 0.25). Conclusions: Fentanyl supplementation benefits postoperative recovery after knee arthroscopy.

A meta-analysis of tourniquet assisted arthroscopic knee surgery

The Knee ◽  
2009 ◽  
Vol 16 (5) ◽  
pp. 317-321 ◽  
Author(s):  
Toby O. Smith ◽  
Caroline B. Hing
Keyword(s):  
Meta Analysis ◽  
Knee Surgery ◽  
Arthroscopic Knee Surgery ◽  
Arthroscopic Knee
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