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Intervention Review

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Single, double or multiple-injection techniques for axillary brachial plexus block for hand, wrist or forearm surgery in adults

  1. Ki Jinn Chin1,*,
  2. Helen HG Handoll2

Editorial Group: Cochrane Anaesthesia Group

Published Online: 6 JUL 2011

Assessed as up-to-date: 13 MAR 2011

DOI: 10.1002/14651858.CD003842.pub3


How to Cite

Chin KJ, Handoll HHG. Single, double or multiple-injection techniques for axillary brachial plexus block for hand, wrist or forearm surgery in adults. Cochrane Database of Systematic Reviews 2011, Issue 7. Art. No.: CD003842. DOI: 10.1002/14651858.CD003842.pub3.

Author Information

  1. 1

    University of Toronto, Department of Anesthesia, Toronto, Ontario, Canada

  2. 2

    Teesside University, Health and Social Care Institute, Middlesborough, Tees Valley, UK

*Ki Jinn Chin, Department of Anesthesia, University of Toronto, Toronto Western Hospital, 399 Bathurst Street, Toronto, Ontario, M5T 2S8, Canada. gasgenie@yahoo.co.uk.

Publication History

  1. Publication Status: New search for studies and content updated (no change to conclusions)
  2. Published Online: 6 JUL 2011

SEARCH

This is not the most recent version of the article. View current version (02 SEP 2016)

[Figure 1]
Figure 1. Search flow diagram
[Figure 2]
Figure 2. Risk of bias summary: review authors' judgements about each risk of bias item for each included study.
[Figure 3]
Figure 3. Risk of bias graph: review authors' judgements about each risk of bias item presented as percentages across all included studies.
[Figure 4]
Figure 4. Forest plot of comparison: 1 Double versus single-injection technique, outcome: 1.1 Primary anaesthesia failure (incomplete sensory block).
[Figure 5]
Figure 5. Forest plot of comparison: 2 Multiple versus single-injection technique, outcome: 2.1 Primary anaesthesia failure (incomplete sensory block).
[Figure 6]
Figure 6. Forest plot of comparison: 3 Multiple versus double-injection technique, outcome: 3.1 Primary anaesthesia failure (incomplete sensory block).
[Analysis 1.1]
Analysis 1.1. Comparison 1 Double versus single-injection technique, Outcome 1 Primary anaesthesia failure (incomplete sensory block).
[Analysis 1.2]
Analysis 1.2. Comparison 1 Double versus single-injection technique, Outcome 2 Primary anaesthesia failure - subgrouped by outcome definition.
[Analysis 1.3]
Analysis 1.3. Comparison 1 Double versus single-injection technique, Outcome 3 Complete failure of block: general anaesthesia or new plexus block.
[Analysis 1.4]
Analysis 1.4. Comparison 1 Double versus single-injection technique, Outcome 4 Incomplete motor block.
[Analysis 1.5]
Analysis 1.5. Comparison 1 Double versus single-injection technique, Outcome 5 Secondary analgesia failure.
[Analysis 1.6]
Analysis 1.6. Comparison 1 Double versus single-injection technique, Outcome 6 Timing (in minutes).
[Analysis 1.7]
Analysis 1.7. Comparison 1 Double versus single-injection technique, Outcome 7 Complications during nerve block.
[Analysis 1.8]
Analysis 1.8. Comparison 1 Double versus single-injection technique, Outcome 8 Adverse effects (> 24 hours).
[Analysis 1.9]
Analysis 1.9. Comparison 1 Double versus single-injection technique, Outcome 9 Patient discomfort and dissatisfaction with method.
[Analysis 2.1]
Analysis 2.1. Comparison 2 Multiple versus single-injection technique, Outcome 1 Primary anaesthesia failure (incomplete sensory block).
[Analysis 2.2]
Analysis 2.2. Comparison 2 Multiple versus single-injection technique, Outcome 2 Primary anaesthesia failure - subgrouped by outcome definition.
[Analysis 2.3]
Analysis 2.3. Comparison 2 Multiple versus single-injection technique, Outcome 3 Complete failure of block: general anaesthesia or new plexus block.
[Analysis 2.4]
Analysis 2.4. Comparison 2 Multiple versus single-injection technique, Outcome 4 Incomplete motor block.
[Analysis 2.5]
Analysis 2.5. Comparison 2 Multiple versus single-injection technique, Outcome 5 Secondary analgesia failure.
[Analysis 2.6]
Analysis 2.6. Comparison 2 Multiple versus single-injection technique, Outcome 6 Timing (in minutes).
[Analysis 2.7]
Analysis 2.7. Comparison 2 Multiple versus single-injection technique, Outcome 7 Complications during nerve block.
[Analysis 2.8]
Analysis 2.8. Comparison 2 Multiple versus single-injection technique, Outcome 8 Adverse effects > 24 hours.
[Analysis 2.9]
Analysis 2.9. Comparison 2 Multiple versus single-injection technique, Outcome 9 Patient discomfort and dissatisfaction with method.
[Analysis 3.1]
Analysis 3.1. Comparison 3 Multiple versus double-injection technique, Outcome 1 Primary anaesthesia failure (incomplete sensory block).
[Analysis 3.2]
Analysis 3.2. Comparison 3 Multiple versus double-injection technique, Outcome 2 Primary anaesthesia failure - subgrouped by outcome definition.
[Analysis 3.3]
Analysis 3.3. Comparison 3 Multiple versus double-injection technique, Outcome 3 Complete failure of block: general anaesthesia or new plexus block.
[Analysis 3.4]
Analysis 3.4. Comparison 3 Multiple versus double-injection technique, Outcome 4 Incomplete motor block.
[Analysis 3.5]
Analysis 3.5. Comparison 3 Multiple versus double-injection technique, Outcome 5 Secondary analgesia failure.
[Analysis 3.6]
Analysis 3.6. Comparison 3 Multiple versus double-injection technique, Outcome 6 Timing (in minutes).
[Analysis 3.7]
Analysis 3.7. Comparison 3 Multiple versus double-injection technique, Outcome 7 Complications during nerve block.
[Analysis 3.8]
Analysis 3.8. Comparison 3 Multiple versus double-injection technique, Outcome 8 Adverse effects > 24 hours.
[Analysis 3.9]
Analysis 3.9. Comparison 3 Multiple versus double-injection technique, Outcome 9 Patient discomfort and dissatisfaction with method.