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. 2017 Nov 9;2017(11):CD011770. doi: 10.1002/14651858.CD011770.pub2

Comparison 3. Incidence of mild to moderate adverse events: perineural dexamethasone versus placebo.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
1 Overall incidence of block‐related adverse events 10 677 Risk Ratio (M‐H, Random, 95% CI) 1.17 [0.99, 1.39]
2 Numbness/tingling 14 days after surgery 5 323 Risk Ratio (M‐H, Random, 95% CI) 1.76 [0.80, 3.89]
3 Residual motor block/weakness 24 hours after surgery 3 259 Risk Ratio (M‐H, Random, 95% CI) 4.69 [0.57, 38.68]
4 Horner Syndrome 4 321 Risk Ratio (M‐H, Random, 95% CI) 0.99 [0.73, 1.36]
5 Hoarseness 4 353 Risk Ratio (M‐H, Random, 95% CI) 1.23 [0.65, 2.34]
6 Diaphragmatic paresis 2 172 Risk Ratio (M‐H, Random, 95% CI) 1.46 [0.66, 3.23]
7 Dyspnoea 4 274 Risk Ratio (M‐H, Random, 95% CI) 0.34 [0.01, 8.14]
8 Vascular injury 1 100 Risk Ratio (M‐H, Random, 95% CI) 2.0 [0.19, 21.36]
9 Cranial nerve 12 palsy 1 83 Risk Ratio (M‐H, Random, 95% CI) 0.33 [0.01, 7.77]
10 Bruising 1 37 Risk Ratio (M‐H, Random, 95% CI) 1.06 [0.07, 15.64]
11 Overall non‐block‐related adverse events 10 625 Risk Ratio (M‐H, Random, 95% CI) 0.76 [0.35, 1.68]
12 Postoperative nausea and vomiting 10 585 Risk Ratio (M‐H, Random, 95% CI) 0.55 [0.26, 1.14]
13 Deep sedation 1 60 Risk Ratio (M‐H, Random, 95% CI) 7.0 [0.38, 129.93]
14 Dermatological symptoms (pruritus/rash) 1 83 Risk Ratio (M‐H, Random, 95% CI) 2.93 [0.32, 27.02]
15 Syncope/fainting 1 83 Risk Ratio (M‐H, Random, 95% CI) 1.95 [0.18, 20.71]
16 Bradycardia 1 60 Risk Ratio (M‐H, Random, 95% CI) 0.67 [0.12, 3.71]
17 Hypotension 2 140 Risk Ratio (M‐H, Random, 95% CI) 0.67 [0.21, 2.13]
18 Headache/10‐pound fluid gain/diarrhoea/frequent urination/muscle soreness 1 83 Risk Ratio (M‐H, Random, 95% CI) 2.93 [0.12, 69.92]