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. 2019 Mar 1;2019(3):CD006715. doi: 10.1002/14651858.CD006715.pub3

Comparison 2. Epidural analgesia compared with peripheral nerve blocks.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
1 Mortality at 0 to 30 days 1 145 Risk Difference (M‐H, Fixed, 95% CI) ‐0.03 [‐0.08, 0.02]
1.1 With cardiopulmonary bypass 1 145 Risk Difference (M‐H, Fixed, 95% CI) ‐0.03 [‐0.08, 0.02]
2 Myocardial infarction (0 to 30 days) 2 76 Risk Difference (M‐H, Fixed, 95% CI) 0.0 [‐0.07, 0.07]
2.1 Off‐pump surgery 2 76 Risk Difference (M‐H, Fixed, 95% CI) 0.0 [‐0.07, 0.07]
3 Neurological complications: cerebrovascular accident (0 to 30 days) 1 145 Risk Difference (M‐H, Fixed, 95% CI) 0.0 [‐0.03, 0.03]
3.1 With cardiopulmonary bypass 1 145 Risk Difference (M‐H, Fixed, 95% CI) 0.0 [‐0.03, 0.03]
4 Neurological complications: epidural haematoma (0 to 30 days) 4 271 Risk Difference (M‐H, Fixed, 95% CI) 0.0 [‐0.03, 0.03]
4.1 With cardiopulmonary bypass 2 195 Risk Difference (M‐H, Fixed, 95% CI) 0.0 [‐0.03, 0.03]
4.2 Off‐pump surgery 2 76 Risk Difference (M‐H, Fixed, 95% CI) 0.0 [‐0.07, 0.07]
5 Duration of tracheal intubation (hours) 4 271 Mean Difference (IV, Fixed, 95% CI) ‐0.08 [‐0.54, 0.38]
5.1 With cardiopulmonary bypass 2 195 Mean Difference (IV, Fixed, 95% CI) ‐0.04 [‐0.53, 0.44]
5.2 Off‐pump surgery 2 76 Mean Difference (IV, Fixed, 95% CI) ‐0.35 [‐1.70, 0.99]
6 Pain scores at rest at 6 to 8 hours 2 90 Mean Difference (IV, Fixed, 95% CI) 0.12 [‐0.42, 0.66]
6.1 With cardiopulmonary bypass 1 50 Mean Difference (IV, Fixed, 95% CI) 0.0 [‐0.59, 0.59]
6.2 Off‐pump surgery 1 40 Mean Difference (IV, Fixed, 95% CI) 0.8 [‐0.61, 2.21]
7 Pain scores on movement/coughing at 6 to 8 hours 2 90 Mean Difference (IV, Fixed, 95% CI) ‐0.15 [‐0.69, 0.39]
7.1 With cardiopulmonary bypass 1 50 Mean Difference (IV, Fixed, 95% CI) ‐0.08 [‐0.69, 0.53]
7.2 Off‐pump surgery 1 40 Mean Difference (IV, Fixed, 95% CI) ‐0.40 [‐1.57, 0.77]
8 Pain at rest at 24 hours 3 231 Mean Difference (IV, Random, 95% CI) 0.11 [‐0.41, 0.63]
8.1 With cardiopulmonary bypass 2 195 Mean Difference (IV, Random, 95% CI) 0.28 [‐0.34, 0.91]
8.2 Off‐pump surgery 1 36 Mean Difference (IV, Random, 95% CI) ‐0.54 [‐1.38, 0.30]
9 Pain on movement/coughing at 24 hours 2 86 Mean Difference (IV, Random, 95% CI) 0.31 [‐0.62, 1.24]
9.1 With cardiopulmonary bypass 1 50 Mean Difference (IV, Random, 95% CI) 0.72 [0.22, 1.22]
9.2 Off‐pump surgery 1 36 Mean Difference (IV, Random, 95% CI) ‐0.24 [‐1.11, 0.63]
10 Pain at rest at 48 hours 2 195 Mean Difference (IV, Random, 95% CI) 0.51 [‐0.77, 1.80]
10.1 With cardiopulmonary bypass 2 195 Mean Difference (IV, Random, 95% CI) 0.51 [‐0.77, 1.80]
11 Pain at rest on movement/coughing at 48 hours 1 50 Mean Difference (IV, Fixed, 95% CI) 1.36 [0.76, 1.96]
12 Hypotension or need for vasopressor 1 40 Risk Difference (M‐H, Random, 95% CI) 0.05 [‐0.08, 0.18]
12.1 Off‐pump surgery 1 40 Risk Difference (M‐H, Random, 95% CI) 0.05 [‐0.08, 0.18]