Author (Year)
Group 1
Group 2
Country
Age
ASA
LA1
LA2
GA protocol
PO analgesia protocol
Main Outcome
Zhang Y (2021) PIFB PLACEBO China 20-70 3-4 0.4% ropivacaine 20 ml Saline 20 mL INDUCTION: MDZ 0.05 - 0.1 mg/kg. SUF 0.8 - 1 μg/kg.; ETM 0.3 mg/kg and ROC 0.6 mg/kg MAINTENANCE: SUF. PRP and ROC PCA SUF and 20 mg parecoxib iv at 6 h intervals Postoperative pain
Athar M (2021)
ESPB
PLACEBO
India
18-60
0.25% levobupivacaine 20 ml
Saline 20 mL
PREMEDICATION: diazepam 0.2 mg/kg INDUCTION: FNT 5 mcg/kg. ETM 0.3-0.6 mg/kg, ROC 0.6-1 mg/kg MAINTENANCE: SEVO 1-2%. FNT 5-10 mcg/kg/h
Fentanyl comsumption
Kumar AK (2021) PIFB IV ANALGESIC India 18-80 Ropivacaine 0.25% 10 ml Saline 10 mL INDUCTION: FNT. 2 mg/kg. THP 2-3 mg/kg. ROC 1 mg/kg. MAINTENANCE: isoflurane, FNT and ROC Acetaminophen iv 1 g. and tramadol 50 mg every 6 hours Postoperative pain
Khera T (2021) PIFB PLACEBO USA >18 0.25% bupivacaine 20 ml Saline 20 mL Morphine comsumption
Aydin ME (2020) TTMPB PLACEBO Turkey 2-3 20 ml of 0.25% bupivacaine Saline 20 mL INDUCTION: MDZ 0.5 mg/kg; THP 5 mg/kg, ROC 0.6 mg/kg, REMI 0.5 mg/kg bolus MAINTENANCE: REMI 0.15 - 0.35 mg/kg/min Tramadol 100 mg if VAS ≥ 4 Fentanyl comsumption
Krishna SN (2019) ESPB IV ANALGESIC India 20-70 3 mg/kg of 0.375% ropivacaine 20 to 25 ml Not given INDUCTION: FNT 1 mg/kg, MDZ 0.05 mg/kg , HP 3 -5 mg/kg , ROC 0.6 mg/kg MAINTENANCE: isoflurane and boluses of atracurium and FNT Tramadol or FNT iv Postoperative pain
Chen H (2021) PIFB PLACEBO China 18-65 1-2 Ropivacaine 0.5% 10 mL Saline 10 mL MAINTENANCE: SEVO and REMI. Cisatracurium PCA-SUF 1.5 - 2.5 mcg/h and boluses of 1 mcg 10 min lockout interval (Max dose: 8 mcg/h) Cumulative sufentanil consumption
Hamed. M. A. (2022) PIFB PLACEBO Egypt >18 Bupivacaine 0.25% 20 mL plus 5 mcg/mL epinephrine Dry needle INDUCTION: MDZ 2 mg, FNT 10 mcg/kg, PRP 2 mg/kg. atracurium 0.5 mg/kg MAINTENANCE: isoflurane 1%. atracurium 0.5 mg/kg IV morphine 5-10 mg boluses (required) Cumulative morphine consumption
Kaya C (2021)
PIFB
TTMPB
Turkey
18-80
2-3
Bupivacaine 0.25% 20 mL plus 1:400000 epinephrine
Bupivacaine 0.25% 20 mL plus 1:400000 epinephrine
INDUCTION: MDZ 0.05-0.1 mg/kg, FNT 2-5 mcg/kg, pentothal 4-5 mg/kg. ROC 1mg/kg. MAINTENANCE: SEVO 1-2 %. FNT 2-5 mcg/kg/h
Acetaminophen 1 g x 4. PCA: 20 mcg/kg morphine lockout time: 6-10 min, tramadol 100 mg (NRS >3)
Morphine comsumption
Shokri H (2021)
TTMPB
PLACEBO
Egypt
55-74
2-3
Bupivacaine 0.25% 15 mL
Bupivacaine 0.25% 15 mL
PREMEDICATION: MDZ 1-3 mg INDUCTION: FNT 5-6 mcg/kg, PRP 2 mg/kg. ROC 0.6 mg/kg MAINTENANCE: isoflurane 1-2 %
4x1gr paracetamol. morphine 0.05 mg/kg (VAS>4)
Morphine comsumption
Fujii S (2018)
TTMPB
IV ANALGESIC
Canada
18-90
Ropivacaine 0.3(weighing<75 kg) -0.5 ( >75kg) % 20 mL
Ropivacaine 0.3(weighing<75 kg) -0.5 ( >75kg) % 20 mL
INDUCTION: PRP 0.5-1 mg/kg, MDZ 0.05-1 mg/kg, FNT 2-5 mcg/kg, ROC 0.6-1 mg/kg MAINTENANCE: isoflurane 0.5-1%
Hidmorphone, Acetaminophen, NSAID
Recruitment rate. Adherence rate. Adverse events rate
Zhang (2021) TTMPB IV ANALGESIC China 18-70 2-3 Ropivacaine 0.4% 20 mL Saline 20 mL INDUCTION: MDZ 0.1 mg/kg, ETM 0.3 mg/kg, cisatracurium 0.15 mg/kg, SUF 0.6-1 mcg/kg MAINTENANCE: PRP and cisatracurium Sufentanyl iv additional pain: 4x50 mg flurbiprofen Perioperative sufentanil consumption
Kumar K (2018) IV ANALGESİC PECS I India 25-65 No block Bupivacaine 0.25% + dexmetedomidine 25 mcg 30 mL and bupivacaine 0.25% 5 mL Paracetamol 1 gr + tramadol 50 mg iv+ fentanyl 1 mcg/kg (VAS>4 rescue analgesia) and diclofenac 75 mg (VAS>4 30 min after first rescue analgesia) Postoperative pain
Hamed (2022)
TTMPB
PLACEBO
Egypt
>18
20 mL of 0.25% bupivacaine
20 mL of 0.9% saline
PREMEDICATION: 10mg morphine im INDUCTION: MDZ 2 mg, FNT (10μg.kg−1), PRP (3mg.Kg−1), and atracurium (0.5 mg.kg−1). MAINTENANCE: Isoflurane 0.4% - 1%, atracurium 0.5 mg/kg/h, PRP 50–100 μ/kg/min
IV FNT PCA with (10 μg/mL, bolus of 15 μg, lockout 10 minutes - MAX 90μ/hr). Acetaminophene 1 g every 8 hours.
Total fentanyl consumption
Guven (2022) ESPB IV ANALGESIC Turkey 18-65 1-2 20 ml of 0.25% bupivacaine No block PREMEDICATION: MDZ 0.03 mg/kg INDUCTION: FNT 1 µg/kg, MDZ 0.15 mg/kg, PRP 1-2 mg/kg, ROC 1 mg/kg. MAINTENANCE: SEVO, ROC infusion (0.01 mg/kg/min) and FNT (2-3 µg/kg/h). Acetaminophen 1 g, 100 mg IV tramadol, IV PCA with morphine (0.5 mg/ml concentration, 1 mg bolus dose, lockout 10 min) Total morphine consumption