ArticleJournal of anaesthesiology, clinical pharmacology
Hemidiaphragmatic paralysis following costoclavicular versus supraclavicular brachial plexus block: A systematic review and meta-analysis.
Article in Journal of anaesthesiology, clinical pharmacology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07553611 (Comparion of the Effects of Ultrasound-guided Interscalene Block, Erector Spinae Plane Block, Costoclavicular Block, and Supraclavicular Block on Hemidiaphragm Paralysis, Postoperative Recovery Quality, Opioid Consumption, and Pain Scores in Patients Undergoing Arthroscopic Shoulder Surgery), which is not on this map. Cited by 1 paper.
What it found
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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.
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.
Comparion of the Effects of Ultrasound-guided Interscalene Block, Erector Spinae Plane Block, Costoclavicular Block, and Supraclavicular Block on Hemidiaphragm Paralysis, Postoperative Recovery Quality, Opioid Consumption, and Pain Scores in Patients Undergoing Arthroscopic Shoulder Surgery: a Prospective Observational Trial
Who cites it
1 citing paper in PubMed.
- Costoclavicular versus supraclavicular brachial plexus block: Diaphragm-sparing or data-sparing?Journal of anaesthesiology, clinical pharmacologyArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background and Aims: Hemidiaphragmatic paralysis (HDP) may impair the pulmonary function, which could be a substantial issue in individuals suffering from underlying lung disease or compromised lung function. Hence, several diaphragm-sparing methods have been used to avoid HDP after brachial plexus blocks. Although various studies have reported a lower incidence of HDP with costoclavicular block (CCB) compared to supraclavicular block (SCB), a systematic review and meta-analysis to confirm the potential benefits has not been done. Therefore, we analyzed the association of HDP with CCB and SCB. Material and Methods: The incidence of HDP was the primary outcome, and the change in diaphragmatic thickness fraction (DTF), change in hemidiaphragm excursion, and change in peak expiratory flow rate (PEFR) were the secondary outcomes. Six full texts of the articles were selected in the systematic review and meta-analysis of 263 patients who received CCB and 269 patients who received SCB. Results: The incidence of HDP after CCB was significantly lower than that associated with SCB (16 vs. 115), risk difference: -0.41 (95% confidence interval [CI]: -0.48 to -0.34; Conclusion: The incidence of HDP after CCB was significantly lesser than that after SCB.
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