The efficacy of peripheral nerve block on postoperative catheter-related bladder discomfort in males: A systematic review and meta-analysis
ObjectiveTo determine the efficacy of peripheral nerve block (PNB) in preventing postoperative catheter-related bladder discomfort (CRBD).MethodsUp to July 1, 2022, the PubMed, Embase and Cochrane Central Register of Controlled Trials databases were searched, and all articles that met the PICOS (Pat...
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Frontiers Media S.A.
2023-02-01
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| Series: | Frontiers in Surgery |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2023.1099628/full |
| _version_ | 1811173454540439552 |
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| author | Xingjun Bao Xingjun Bao Ming Liu Ming Liu Jie Li Huibao Yao Hongquan Liu Gonglin Tang Xiaofeng Wang Zhongbao Zhou Jitao Wu Yuanshan Cui |
| author_facet | Xingjun Bao Xingjun Bao Ming Liu Ming Liu Jie Li Huibao Yao Hongquan Liu Gonglin Tang Xiaofeng Wang Zhongbao Zhou Jitao Wu Yuanshan Cui |
| author_sort | Xingjun Bao |
| collection | DOAJ |
| description | ObjectiveTo determine the efficacy of peripheral nerve block (PNB) in preventing postoperative catheter-related bladder discomfort (CRBD).MethodsUp to July 1, 2022, the PubMed, Embase and Cochrane Central Register of Controlled Trials databases were searched, and all articles that met the PICOS (Patient, Intervention, Comparator, Outcome, Study design) criteria were enrolled. The included trials were evaluated using the Cochrane Collaboration's tool. Patients in the block group received bilateral PNB, while those in the non-block group did not need any additional procedure or simply achieved “sham block”. CRBD was quantified using the visual analog scale (VAS) score, which was questioned and recorded at 0–1 h, 1–2 h, 4–8 h, 8–12 h and 12–24 h intervals. The incidences of CRBD, moderate to severe CRBD and postoperative nausea and vomiting (PONV) were meta-analysed.ResultsSix trials with a total of 544 patients were considered. First, the block group had a lower incidence of CRBD than the non-block group at 0–1 h (OR 0.22; 95% CI, 0.18–0.08; P < 0.0001), 1–2 h (OR 0.14; 95% CI, 0.08–0.26; P < 0.00001), 4–8 h (OR 0.27; 95% CI, 0.13 to 0.58; P < 0.0008) and 8–12 h (OR 0.51; 95% CI, 0.30 to 0.87; P = 0.01). Second, the block group showed a lower incidence of moderate to severe CRBD than the non-block group at 0–1 h, 1–2 h and 4–8 h, and the ORs were 0.12 (95% CI, 0.03 to 0.49; P = 0.003), 0.17 (95% CI, 0.08 to 0.37; P < 0.00001) and 0.29 (95% CI, 0.15 to 0.55; P = 0.0002),respectively. Finally, the block group was significantly associated with a decreased incidence of PONV (OR, 0.14; 95% CI, 0.05 to 0.39; P = 0.0002).ConclusionThis meta-analysis suggested that PNB markedly reduced the incidence and severity of early postoperative CRBD and decreased the occurrence of PONV. |
| first_indexed | 2024-04-10T17:48:16Z |
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| institution | Directory Open Access Journal |
| issn | 2296-875X |
| language | English |
| last_indexed | 2024-04-10T17:48:16Z |
| publishDate | 2023-02-01 |
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| spelling | doaj.art-10b3e6186a7b44d8acba36a5568db52e2023-02-03T04:31:32ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2023-02-011010.3389/fsurg.2023.10996281099628The efficacy of peripheral nerve block on postoperative catheter-related bladder discomfort in males: A systematic review and meta-analysisXingjun Bao0Xingjun Bao1Ming Liu2Ming Liu3Jie Li4Huibao Yao5Hongquan Liu6Gonglin Tang7Xiaofeng Wang8Zhongbao Zhou9Jitao Wu10Yuanshan Cui11Second Clinical Medical College, Binzhou Medical University, Yantai, ChinaDepartment of Urology, The Affiliated Yantai Yuhuangding Hospital of Qingdao University, Yantai, ChinaSecond Clinical Medical College, Binzhou Medical University, Yantai, ChinaDepartment of Urology, The Affiliated Yantai Yuhuangding Hospital of Qingdao University, Yantai, ChinaDepartment of Anesthesiology, The Affiliated Yantai Yuhuangding Hospital of Qingdao University, Yantai, ChinaDepartment of Urology, The Affiliated Yantai Yuhuangding Hospital of Qingdao University, Yantai, ChinaDepartment of Urology, The Affiliated Yantai Yuhuangding Hospital of Qingdao University, Yantai, ChinaDepartment of Urology, The Affiliated Yantai Yuhuangding Hospital of Qingdao University, Yantai, ChinaDepartment of Urology, The Affiliated Yantai Yuhuangding Hospital of Qingdao University, Yantai, ChinaDepartment of Urology, Beijing TianTan Hospital, Capital Medical University, Beijing, ChinaDepartment of Urology, The Affiliated Yantai Yuhuangding Hospital of Qingdao University, Yantai, ChinaDepartment of Urology, The Affiliated Yantai Yuhuangding Hospital of Qingdao University, Yantai, ChinaObjectiveTo determine the efficacy of peripheral nerve block (PNB) in preventing postoperative catheter-related bladder discomfort (CRBD).MethodsUp to July 1, 2022, the PubMed, Embase and Cochrane Central Register of Controlled Trials databases were searched, and all articles that met the PICOS (Patient, Intervention, Comparator, Outcome, Study design) criteria were enrolled. The included trials were evaluated using the Cochrane Collaboration's tool. Patients in the block group received bilateral PNB, while those in the non-block group did not need any additional procedure or simply achieved “sham block”. CRBD was quantified using the visual analog scale (VAS) score, which was questioned and recorded at 0–1 h, 1–2 h, 4–8 h, 8–12 h and 12–24 h intervals. The incidences of CRBD, moderate to severe CRBD and postoperative nausea and vomiting (PONV) were meta-analysed.ResultsSix trials with a total of 544 patients were considered. First, the block group had a lower incidence of CRBD than the non-block group at 0–1 h (OR 0.22; 95% CI, 0.18–0.08; P < 0.0001), 1–2 h (OR 0.14; 95% CI, 0.08–0.26; P < 0.00001), 4–8 h (OR 0.27; 95% CI, 0.13 to 0.58; P < 0.0008) and 8–12 h (OR 0.51; 95% CI, 0.30 to 0.87; P = 0.01). Second, the block group showed a lower incidence of moderate to severe CRBD than the non-block group at 0–1 h, 1–2 h and 4–8 h, and the ORs were 0.12 (95% CI, 0.03 to 0.49; P = 0.003), 0.17 (95% CI, 0.08 to 0.37; P < 0.00001) and 0.29 (95% CI, 0.15 to 0.55; P = 0.0002),respectively. Finally, the block group was significantly associated with a decreased incidence of PONV (OR, 0.14; 95% CI, 0.05 to 0.39; P = 0.0002).ConclusionThis meta-analysis suggested that PNB markedly reduced the incidence and severity of early postoperative CRBD and decreased the occurrence of PONV.https://www.frontiersin.org/articles/10.3389/fsurg.2023.1099628/fullperipheral nerve blockCRBDVASPONVincidencemeta-analysis |
| spellingShingle | Xingjun Bao Xingjun Bao Ming Liu Ming Liu Jie Li Huibao Yao Hongquan Liu Gonglin Tang Xiaofeng Wang Zhongbao Zhou Jitao Wu Yuanshan Cui The efficacy of peripheral nerve block on postoperative catheter-related bladder discomfort in males: A systematic review and meta-analysis Frontiers in Surgery peripheral nerve block CRBD VAS PONV incidence meta-analysis |
| title | The efficacy of peripheral nerve block on postoperative catheter-related bladder discomfort in males: A systematic review and meta-analysis |
| title_full | The efficacy of peripheral nerve block on postoperative catheter-related bladder discomfort in males: A systematic review and meta-analysis |
| title_fullStr | The efficacy of peripheral nerve block on postoperative catheter-related bladder discomfort in males: A systematic review and meta-analysis |
| title_full_unstemmed | The efficacy of peripheral nerve block on postoperative catheter-related bladder discomfort in males: A systematic review and meta-analysis |
| title_short | The efficacy of peripheral nerve block on postoperative catheter-related bladder discomfort in males: A systematic review and meta-analysis |
| title_sort | efficacy of peripheral nerve block on postoperative catheter related bladder discomfort in males a systematic review and meta analysis |
| topic | peripheral nerve block CRBD VAS PONV incidence meta-analysis |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2023.1099628/full |
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