Table 2.B.
The relationship between regional anesthesia and postoperative systemic inflammatory response in patients undergoing different types of surgery in the context of a randomized controlled trial
| Author (s) | Country | Type of surgery | Severity of surgery | Patients (n) |
Anesthetics used | Inflammatory response marker | Post-operative sampling point | Findings | Comments | Quality of study |
|---|---|---|---|---|---|---|---|---|---|---|
| [51] | Turkey | Anorectal Surgery. | Minor | 58 | ITGA = intratracheal GA‡ compared with regional (saddle block) anesthesia. | CRP † | 24 h | ITGA, CRP = 15.08 ± 14.36 mg/L, P = .531 Regional, CRP = 18.06 ± 21.01 mg/L, P = .531 |
No significant difference between groups. | Low range of quality score. |
| [53] | Greece | Total knee arthoplasty. | Moderate | 56 | Group A = Spinal anesthesia followed by IV morphine analgesia. Group B = EA§ followed by epidural analgesia. |
IL-6 ⁎ | 24 h | Group A, 24 h, IL-6 = 0.67 pg/mL Group B, 24 h, IL-6 = 0.73 pg/mL |
No significant difference between groups. | Low range of quality score. |
| CRP | 24 and 48 h | Group A, 24 h, CRP = 5.5 mg/L 48 h, CRP = 93.5 mg/L Group B, 24 h, CRP = 6.2 mg/L 48 h, CRP = 85.8 mg/L |
No significant difference between groups. | |||||||
| [52] | Turkey | Major lower extremity surgery. | Major | 60 | Group E = EA group. Group G = standard GA group. |
CRP | 24 h | Group E, 24 h, CRP = 62.1 ± 31.2 mg/L, P = .917 Group G, 24 h, CRP = 64.1 ± 38.4 mg/L, P = .917 |
No significant difference between groups. | Low range of quality score. |
⁎IL-6, Interleukin 6; †CRP, C-reactive protein; ‡GA, general anesthesia; §EA, epidural anesthesia.