Study | Reason for exclusion |
---|---|
Abdel‐Salam 1975 | Study comparing different epidural LA mixtures for analgesic effect, 2 days after surgery. No long‐term outcomes recorded |
Aveline 2011 | Participants undergoing day‐case open inguinal hernia repair with mesh given TAP block or ilioinguinal/iliohypogastric nerve block. No control group. VAS scores at 3 and 6 months |
Bach 1988 | Pseudo‐clinical RCT (sequence generation by means of patients' year of birth) investigating epidural analgesia before limb amputation for chronic phantom pain with a follow‐up of 12 months |
Bamigboye 2013 | Outcome was attenuation of (pre‐existing) chronic pelvic pain. The primary outcome of interest for this review, (new onset wound pain persisting for > 3 months after surgery) was not measured |
Baral 2010 | Study assessing effectiveness of preoperative IV lidocaine infusion on post‐op pain, however, no chronic pain outcomes assessed |
Batoz 2009 | Follow‐up only 2 months in this RCT of scalp infiltration for craniotomy |
Blumenthal 2011 | Comparing regional technique against combination of regional techniques |
Borgeat 2001 | Outcome: regional anaesthesia complications associated with interscalene block |
Borghi 2010 | Non‐randomized prospective trial of perineural catheter for phantom limb pain |
Brull 1992 | Non‐randomized observational study of continuous infusion through an iliac crest catheter for postoperative analgesia after ICBG harvesting |
Cerfolio 2003 | Preincision epidural anaesthesia vs none for thoracotomy, but no control (as both groups had post‐op epidural anaesthesia) |
Chelly 2011 | All participants received local wound infiltration and there was no control group without application of local or regional anaesthesia |
Corsini 2013 | Article in French. Single‐dose intraincisional infiltration of levobupivacaine or placebo into wound after scheduled C‐section. Longest pain outcome at 2 months |
da Costa 2011 | Excluded for pseudo‐randomization, this prospective trial investigated different anaesthetic techniques for the prevention of regional pain syndrome after carpal tunnel release |
De Kock 2001 | Comparing IV ketamine to epidural ketamine to control as adjuvant therapy; all patients receiving LAs via epidural catheter |
Duale 2009 | Comparison of ketamine or placebo in people undergoing thoracotomy. All participants received local ropivacaine administration at the edges of the thoracotomy and chest drainage orifices and in the inter pleural space postoperatively (thus no control group) |
Eisenach 2010 | RCT comparing intrathecal bupivacaine with ketoralac vs saline for prevention of postoperative pain. All participants received intrathecal bupivacaine thus no control group |
El‐Morsy 2012 | Randomized, blinded study comparing outcome of paravertebral block vs thoracic epidural block for post‐thoracotomy incision pain in paediatric patients. The primary objective was evaluation of immediate postoperative analgesia. Secondary objectives included hormonal responses, side effects, failure rate, and pulmonary function. No long‐term outcomes were measured |
Elman 1989 | Comparing different doses of bupivacaine intrapleurally, no long‐term pain outcomes were measured |
Farag 2013 | Patient on chronic opioids preoperatively |
Gottschalk 1998 | Follow‐up only 9.5 weeks, in a double‐blind clinical RCT of 100 people undergoing elective radical retropubic prostatectomy for the treatment of prostate cancer. Epidural bupivacaine, epidural fentanyl, or no epidural drug was administered prior to induction of anaesthesia and throughout the entire operation resulting in more pain‐free participants at 9.5 weeks |
Haythornthwaite 1998 | Study on prostatectomy with 3 groups: epidural anaesthesia only, combined epidural and general anaesthesia and general anaesthesia only. Total of 6‐month follow‐up. However, excluded because epidural PCA was provided with bupivacaine and fentanyl for all participants in the postoperative period, thus no control group |
Hirakawa 1996 | Not randomized |
Hivelin 2011 | Not a randomized trial but only a prospective blinded study of TAP block in breast reconstruction |
Howell 2001 | Study designed to investigate differences in backache as complication/adverse effect of labour epidural |
Ilfeld 2004 | Not a clinical RCT, but only case reports on 3 paediatric patients with continuous regional anaesthesia catheters, 2 patients with pain outcomes at 3 months |
Ilfeld 2015 | Comparison of continuous vs single shot (regional vs regional) anesthesia |
Jahangiri 1994 | Prospective, but not randomized study of preoperative epidural anaesthesia for phantom pain after limb amputation |
Jirarattanaphochai 2007 | Excluded because chronic pain present at baseline and is reason for surgery |
Joseph 2012 | RCT in which all participants received epidural catheter with participant‐controlled ropivacaine administration, comparing IV ketamine vs no ketamine in people undergoing thoracotomy. Follow‐up of 3 months post‐op |
Kairaluoma 2010 | Comparing paravertebral block against local infiltration for hernia repair under SA |
Kindberg 2009 | RCT comparing use of ear acupuncture vs LA in primiparous women with a vaginal delivery at term undergoing surgical repair of lacerations to the labia or the vagina, perineal lacerations of first or second degree or mediolateral episiotomies. Excluded because of traumatic reason for 'surgical' intervention (suturing), not an elective procedure |
Kumar 1989 | Non‐randomized pilot study of 20 patients to examine post‐cholecystectomy pain relief of paravertebral block with bupivacaine, with or without adrenaline added. Alternating participants received adrenaline or did not |
Kumar 2009 | Men undergoing totally extra‐peritoneal repair of groin hernia were randomized to pre‐peritoneal bupivacaine vs saline after mesh placement. All prospective trocar sites were infiltrated by bupivacaine in all cases, thus no control group without regional analgesia |
Lambert 2001 | Comparing regional against regional technique: clinical RCT comparing preoperative epidural vs postoperative perineural catheter for risk reduction of phantom pain after limb amputation |
Lebreux 2007 | Not comparing regional vs nonregional anaesthesia. 20 healthy parturients undergoing elective caesarean section under SA were randomized to receive spinal clonidine. Outcome was pain up to 6 months and hyperalgesia |
Lee 2012 | RCT of patients undergoing video‐assisted thoracic surgery, with all participants receiving epidural ropivacaine and fentanyl, with or without magnesium sulphate |
Loughnan 2002 | Controlled clinical trial designed to detect difference in backache as complication/adverse effect of labour epidural |
Mendola 2012 | RCT evaluating use of S(+)‐ketamine for prevention of post thoracotomy pain syndrome at 6 months. Patients undergoing thoracotomy under general anaesthesia, with thoracic epidural catheter placed +/‐ IV infusion of ketamine vs IV placebo with 6 months post‐op follow‐up. All participants received epidural catheter with levobupivacaine, thus no control group |
Milligan 2002 | Comparison of LA vs LA |
Muthukumar 2012 | Prospective‐double blind RCT investigating haemodynamic effects, quality of surgical field and postoperative analgesia following surgical field infiltration with different concentrations of adrenaline with and without lignocaine in children undergoing cleft lip repair. Only immediate postop pain was recorded, no long‐term outcomes measured |
Nabhan 2011 | Patients undergoing endoscopic carpal tunnel release under LA (prilocaine) vs IV regional anaesthesia (prilocaine) |
Nikolajsen 1997 | Study excluded for pseudo‐randomization as discussed in (Appendix 9). Double‐blinded (patients and outcome assessors), pseudo‐randomized (sequence generation was by "the toss of a coin") controlled clinical trial on preoperative epidural analgesia for limb amputation with a follow‐up of 12 months including 60 adults in a university setting in Aarhus, Denmark |
Obata 1999 | Comparing preincisional vs postincisional epidural anaesthesia for thoracotomy |
Ochroch 2006 | Comparing preincisional vs postincisional epidural anaesthesia for thoracotomy |
Ouaki 2009 | Prospective study examining continuous infusion of ropivacaine at iliac crest donor site in paediatric patients undergoing ICBG. However, non‐randomized with only 1 study group, all with same treatment (no control group) |
Panos 1990 | RCT comparing IV vs epidural fentanyl, not LA vs control |
Perniola 2009 | RCT of intra‐abdominal LA for abdominal hysterectomy. Follow‐up 3 months. Excluded because all 3 groups used LA infusions |
Pompeo 2007 | Comparison of awake video‐assisted thoracoscopic bullectomy with pleural abrasion using thoracic epidural anaesthesia vs general anaesthesia (control) in treatment of spontaneous pneumothorax. No long‐term pain outcomes measured; follow‐up at 12 months was to elicit recurrences of pneumothorax |
Rosen 2009 | Patients undergoing laparoscopic ventral hernia repair randomized to receive elastomeric pain pump with continuous LA vs saline. Each trocar site injected with LA in either group thus both groups received LAs. Total follow‐up 3 months |
Royse 2007 | Measured outcome was a depression score, no chronic postsurgical pain measured |
Ryu 2011 | Comparison of pre‐emptive thoracic epidural analgesia with or without ketamine in people undergoing operations using classic posterolateral thoracotomy incisions. Thus, no control group. Total follow‐up of 3 months post‐op |
Saber 2009 | Follow‐up only 2 months |
Salengros 2010 | RCT investigating pre‐ vs postoperative epidural anaesthesia after thoracotomy |
Schaan 2004 | Pain outcomes measured < 3 months |
Schley 2007 | Study on effect of adjuvants for LAs to prevent chronic postsurgical pain. All 19 participants received a continuous brachial plexus block for 1 week after the amputation of an upper extremity. In addition they were treated with the NMDA antagonist memantine or placebo for 4 weeks |
Sen 2009 | RCT of 60 men aged 20‐40 years undergoing inguinal herniorrhaphy, comparing preoperative oral gabapentin to placebo and the effects on acute and long‐term pain. All participants received intrathecal bupivacaine. Follow‐up total of 6 moths post‐op |
Shikano 1994 | RCT looking at the effect of wound infiltration with bupivacaine before insertion of trocars on post‐op pain and respiratory impairment in people undergoing laparoscopic cholecystectomy. No long‐term pain outcomes measured |
Sim 2012 | Randomized trial investigating pre‐ vs postincisional pre‐emptive thoracic epidural analgesia for thoracotomy with outcomes at 6 months, but with no control group without regional anaesthesia |
Suvikapakornkul 2009 | Pain outcomes measured only until 24 h post‐op; 3‐month follow‐up was only for recurrence and complications |
Suzuki 2006 | Studying the adjuvant effect of IV ketamine vs placebo in 49 thoracotomy patients, all participants receiving ropivacaine with morphine via epidural analgesia for 2 days |
Verma 2006 | Patients with chronic cholecystitis divided into 4 groups, to receive either saline or different combinations of bupivacaine at gallbladder bed and trocar sites. No long‐term pain outcome measures |
Vigneau 2011 | Pain outcomes measured only up to 2‐month follow‐up in this RCT on would infiltration after breast surgery |
Wang 1992 | Article in Mandarin. No comparison group without regional anaesthesia |
Weihrauch 2005 | Comparing block vs block with no pain outcome measured |
Wilson 2008 | RCT on patients undergoing lower limb amputation received combined intrathecal/epidural anaesthetic for surgery followed by epidural infusion with bupivacaine with ketamine vs bupivacaine with placebo (saline). No control group as both received LA |
Yang 2012 | We acknowledge the study author's response to our inquiry; pain data only measured until 2 months post‐op |
ICBG: iliac crest bone graft; IV: intravenous; NMDA : N‐methyl‐D‐aspartate receptor; PCA: patient controlled analgesia; RCT: randomized controlled trial; SA: spinal anaesthetic; TAP: transabdominal plane block; VAS: visual analogue scale