Evidence map›Paper›PMID 37498489›Full record

SynthesisObesity surgery2023

Single-Shot Regional Anesthesia for Bariatric Surgery: a Systematic Review and Network Meta-Analysis.

Alessandro De Cassai, Greta Paganini, Tommaso Pettenuzzo, Francesco Zarantonello, Annalisa Boscolo, Serkan Tulgar, Michele Carron, Marina Munari, Paolo Navalesi

Abstract readSystematic ReviewNetwork Meta-Analysis
PubMed Publisher
In one paragraph

Synthesis in Obesity surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 4 pooled it
5.7field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 4 syntheses or guidelines pooled it, 18 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 2 countries.

Alessandro De CassaiUOC Anesthesia and Intensive Care Unit, University Hospital of Padua, Padua, Italy. alessandro.decassai@aopd.veneto.it.ORCID 0000-0002-9773-1832
Greta PaganiniUOC Anesthesia and Intensive Care Unit, University Hospital of Padua, Padua, Italy.
Tommaso PettenuzzoUOC Anesthesia and Intensive Care Unit, University Hospital of Padua, Padua, Italy.
Francesco ZarantonelloUOC Anesthesia and Intensive Care Unit, University Hospital of Padua, Padua, Italy.
Annalisa BoscoloUOC Anesthesia and Intensive Care Unit, University Hospital of Padua, Padua, Italy.
Serkan TulgarDepartment of Anesthesiology and Reanimation, Faculty of Medicine, Samsun Training and Research Hospital, Samsun University, Samsun, Turkey.
Michele CarronUOC Anesthesia and Intensive Care Unit, University Hospital of Padua, Padua, Italy.
Marina MunariUOC Anesthesia and Intensive Care Unit Sant'Antonio, University Hospital of Padua, Padua, Italy.
Paolo NavalesiUOC Anesthesia and Intensive Care Unit, University Hospital of Padua, Padua, Italy.
University of Padua · ITSamsun University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeLaparoscopic bariatric surgeries can cause intense postoperative pain. Opioid medication can alleviate the pain but can have harmful side effects especially in patients with obstructive sleep apnea. To promote early recovery, enhanced recovery after surgery guideline advises minimizing opioid use and opting for alternative analgesics. This paper aims to investigate the effect of regional anesthesia techniques through a systematic review and network meta-analysis. Primary outcome is postoperative morphine equivalent consumption at 24 h.

methodsSearch was conducted in the following databases: PubMed, CENTRAL, Scopus, and EMBASE, from the inception until 10 January 2023. The eligibility criteria were determined by PICOS, including postoperative opioid consumption, pain scores, time to ambulate, use of additional analgesics, and adverse events. The quality assessment was performed using the Risk of Bias 2 Tool, and the certainty of evidence was assessed using the GRADE approach. Funnel plots were used to evaluate publication bias.

resultsWe included 22 studies in quantitative synthesis. A review of 12 studies found that all techniques had a lower mean consumption of opioids compared to placebo or no intervention, with TAP block having the greatest reduction. The quality of evidence for postoperative pain, PONV, time to deambulate, and use of rescue analgesics, was rated as moderate, with TAP block being the most effective intervention. There was no publication bias in any outcome.

conclusionsTAP block is superior to other regional anesthesia techniques in reducing opioid consumption, pain, PONV, and use of rescue analgesics in bariatric surgery. However, further research is needed.

Indexed as

Bariatric SurgeryNerve BlockObesity, MorbidAnalgesics, OpioidHumansPostoperative Nausea and VomitingPostoperative PainAnalgesics, OpioidAbdominal painAnesthesia conductionBariatric surgeryPain management

Identifiers

PMID37498489
OpenAlexW4385295501

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.