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. 2021 May 7;68(8):1185–1196. doi: 10.1007/s12630-021-02005-2

TABLE 3.

Pain management

Article topic Year of publication Type of study Number of subjects Primary outcome
Gabapentin improves postoperative pain37 2004 RCT 71 Opioid consumption
Perioperative use of gabapentin for acute pain36 2020 Meta-analysis 24,682 Pain
Liposomal bupivacaine in bunionectomy96 2011

RCT,

placebo

193 Pain
Liposomal bupivacaine review97 2021 Meta-analysis 619 Pain
Pectoral I + II nerve block for breast cancer surgery98 2015 RCT 120 Pain
Pectoral nerve block I for breast cancer surgery99 2018 RCT, placebo 120 Pain
Addition of IPACK to AC block reduces pain after TKA100 2019 RCT 86 Pain with ambulation
The effect of IPACK block on pain after TKA101 2020 RCT, placebo 72 Opioid consumption
Effect of perineural dexamethasone on duration of interscalene nerve block102 2011 RCT 218 Block duration
Perineural versus IV dexamethasone for peripheral nerve blocks103 2017 Meta-analysis 1,076 Block duration

Important clinical trials that were controversial and in conflict with accepted practice. Unshaded studies tended to reject the null hypothesis for the primary outcome, while shaded studies did not.

AC = adductor canal; IPACK = Infiltration between the popliteal artery and the capsule of the posterior knee; IV = intravenous; RCT = randomized controlled trial; TKA = total knee arthroplasty.