Evidence map›Paper›PMID 33815632›Full record

SynthesisPain research & management2021

Comparative Analgesic Efficacies of Ropivacaine and Bupivacaine for Postoperative Rectus Sheath Block in Paediatric Abdominal Surgery: A Meta-Analysis of Randomized Controlled Trial and Retrospective Cohort Studies.

Lan Winnie, Yi-Hsuan Kao, Chien-Chang Liao, Takahiro Tamura, Ming-Long Chang, Kun-Yi Hsieh

Open access · goldAbstract readMeta-Analysis
In one paragraph

Synthesis in Pain research & management, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.7field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 10 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Rectus Sheath Block in Abdominal Surgery: A Systematic Review with Meta-Analysis.Romanian journal of anaesthesia and intensive care · 2023
    Article
  8. Article
  9. Article
  10. Effects of Abdominal Wall Blocks on Postoperative Delirium in Elderly Patients Undergoing Laparoscopic Surgery: A Randomized Controlled Study.Medical science monitor : international medical journal of experimental and clinical research · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 6 institutions in 2 countries.

Lan WinnieDepartment of General Medicine, Taipei Medical University Shuang-Ho Hospital, New Taipei City, Taiwan.ORCID 0000-0002-0685-4205
Yi-Hsuan KaoDepartment of General Medicine, Mackay Memorial Hospital, Taipei, Taiwan.ORCID 0000-0002-9297-9193
Chien-Chang LiaoDepartment of Anesthesiology, Taipei Medical University Hospital, Taipei 11031, Taiwan.ORCID 0000-0001-6694-0730
Takahiro TamuraDepartment of Anesthesiology, Nagoya University Graduate Institute of Medicine, Nagoya, Japan.
Ming-Long ChangDepartment of Emergency Medicine, Taipei Medical University Hospital, Taipei 11031, Taiwan.ORCID 0000-0002-9886-5664
Kun-Yi HsiehEmergency Department, Taipei Municipal Wanfang Hospital, Taipei 116, Taiwan.ORCID 0000-0003-4808-746X
China Medical University · TWMackay Memorial Hospital · TWNagoya University · JPTaipei Medical University Hospital · TWTaipei Medical University-Shuang Ho Hospital · TWTaipei Municipal YangMing Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The optimal dose and concentration of analgesic efficacy of ropivacaine (RPV) and bupivacaine (BPV) for postoperative pain relief in paediatric abdominal surgery patients is still unclear. Therefore, this meta-analysis compared the efficacy of these analgesics, their administered modes (ultrasound-guided RSB versus LAI) for postoperative pain relief, and side effects. Methods: Three databases, PubMed, Embase, and Cochrane Database of Systematic Reviews, were exhaustively searched with predefined keywords. Eight randomized clinical trials and retrospective studies were selected. Analgesic effect, postoperative pain score, level of side effect, applied dose, and concentration of drug were analysed. Results: Drug dose ranged from 0.5-2.5 mL/kg of 0.2 to 0.5% concentrations. Male participant for RSB and LAI treatment groups varied from 40-62% and 25-83%, respectively. Mean age of RSB and LAI groups ranged from 3.8-11.65 years and 4.3-11.27 years, respectively. Our meta-analysis revealed that RSB could reduce total opioid use postoperatively (WMD = -0.02, 95% CI: -0.02, -0.02), with Conclusion: Both RPV and BPV were significantly effective in reducing postoperative pain score. It appears that RSB could be a preferred choice to deliver analgesia, due to reduced opiate dose requirement and improved clinical safety without significant postoperative adverse events.

Indexed as

Anesthetics, LocalBupivacaineChildChild, PreschoolFemaleHumansMaleNerve BlockPostoperative PeriodRandomized Controlled Trials as TopicRectus AbdominisRetrospective StudiesRopivacaineAnesthetics, LocalBupivacaineRopivacaine

Identifiers

PMID33815632
PMCPMC7987409
OpenAlexW3137925559

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.