Evidence map›Paper›PMID 40987657›Full record

ArticleBritish journal of anaesthesia2025

Peripheral nerve blocks for perioperative analgesia: das Kind mit dem Bade ausschütten...throwing the baby out with the bathwater?

Christopher L Wu, Shelby Badani, Tiffany R Tedore

2 registry-linked trialsAbstract readEditorial
In one paragraph

Article in British journal of anaesthesia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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.

NCT07666009 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Prevention of Rebound Pain After Orthopaedic Surgery With Peripheral Nerve Block: a Single-blinded Randomised Controlled Trial

TypeinterventionalSponsorCentre Hospitalier Universitaire VaudoisRan2026 to 2027Enrolled100ConditionsPost Operative Analgesia, Rebound Pain, Post Operative Pain, AcuteArmsMorphine provided via oral PCA, Morphine provided via oral PCA + morphine administered at a scheduled regimen
NCT07666971 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Prevention of Rebound Pain After Orthopaedic Surgery With Peripheral Nerve Block: a Single-blinded Randomised Controlled Trial

TypeinterventionalSponsorCentre Hospitalier Universitaire VaudoisRan2026 to 2027Enrolled100ConditionsPost Operative Analgesia, Rebound Pain, Post Operative Pain, AcuteArmsMorphine provided via oral PCA, Morphine provided via oral PCA + morphine administered at a scheduled regimen
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. 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

3 authors.

Christopher L WuDepartment of Anesthesiology, Weill Cornell Medicine, New York, NY, USA; Department of Anesthesiology, Hospital for Special Surgery, New York, NY, USA. Electronic address: wuch@hss.edu.
Shelby BadaniDepartment of Anesthesiology, Weill Cornell Medicine, New York, NY, USA.
Tiffany R TedoreDepartment of Anesthesiology, Weill Cornell Medicine, New York, NY, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

There are many benefits of using peripheral nerve blocks (PNBs) for perioperative anaesthesia and analgesia; however, one of their major drawbacks is rebound pain upon resolution of the block. In examining a database of approximately 23 000 patients who received PNB along with general anaesthesia for orthopaedic surgery, Chung and colleagues found that PNB administration before incision was associated with lower maximum pain scores and lower opioid use in the postanaestheisa care unit, but was also associated with higher maximum pain scores, a 23% increase in opioid consumption during the hospital stay, and an increase in opioid prescriptions at 30 days after discharge. They also found that the use of single-shot PNBs was associated with decreased chronic pain diagnoses 1 year after surgery. Some of the discordant findings in this study might be attributed to its retrospective nature and the use of databases to examine this issue.

Indexed as

AnalgesiaNerve BlockPerioperative CarePeripheral NervesPostoperative PainAnalgesics, OpioidHumansAnalgesics, Opioidmultimodal analgesiaopioid consumptionperipheral nerve blockrebound painregional anaesthesia

Identifiers

PMID40987657
PMCPMC12597341

What OpenQuestion holds

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Read underepoch 390

Registered trials

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.