{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T19:35:02Z","timestamp":1792265702743,"version":"4.4.0"},"reference-count":67,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2022,11,10]],"date-time":"2022-11-10T00:00:00Z","timestamp":1668038400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:sec><jats:title>Study objective<\/jats:title><jats:p>To quantitatively assess and compare the efficacy and adverse effects of six different peripheral nerve block techniques after arthroscopic shoulder surgery (ASS).<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Bayesian network meta-analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The PubMed, Embase, Web of Science, the Cochrane Central Register of Controlled Trials, China National Knowledge Infrastructure database, Chinese Scientific Journal database, Wan Fang databases were searched to retrieve randomized clinical trials comparing interscalene brachial plexus block, continuous interscalene brachial plexus block, supraclavicular brachial plexus block, suprascapular nerve block, combined suprascapular and axillary nerve block and local infiltration analgesia on postoperative pain, opioid consumption, and adverse effects (defined as Horner\u2019s syndrome, dyspnea, hoarseness, vomiting, and nausea) after ASS under general anesthesia (GA). Two reviewers independently screened the literature, extracted data, and evaluated the risk of bias in the included studies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 1,348 articles were retrieved initially and 36 randomized clinical trials involving 3,124 patients were included in the final analysis. The network meta-analysis showed that interscalene brachial plexus block was superior in reducing pain and opioid consumption compared to the five other interventions. However, adverse effects were reduced using suprascapular nerve block and combined suprascapular and axillary nerve block compared to interscalene brachial plexus block.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Interscalene brachial plexus block was superior in reducing pain and opioid consumption compared to other peripheral nerve blocks but had a higher frequency of adverse events.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fmed.2022.1032253","type":"journal-article","created":{"date-parts":[[2022,11,10]],"date-time":"2022-11-10T07:21:56Z","timestamp":1668064916000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":11,"title":["Efficacy and adverse effects of peripheral nerve blocks and local infiltration anesthesia after arthroscopic shoulder surgery: A Bayesian network meta-analysis"],"prefix":"10.3389","volume":"9","author":[{"given":"Zheng","family":"Liu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yi-bo","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ji-hua","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guang-han","family":"Wu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peng-cai","family":"Shi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2022,11,10]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","DOI":"10.1186\/s13018-020-02086-7","article-title":"Analysis of the early clinical outcomes of arthroscopic debridement in the treatment of shoulder tuberculosis.","volume":"15","author":"He","year":"2020","journal-title":"J Orthop Surg Res."},{"key":"B2","doi-asserted-by":"publisher","DOI":"10.1177\/2325967118815859","article-title":"Suprascapular nerve blockade for postoperative pain control after arthroscopic shoulder surgery: a systematic review and meta-analysis.","volume":"6","author":"Kay","year":"2018","journal-title":"Orthop J Sports Med."},{"key":"B3","doi-asserted-by":"publisher","first-page":"34","DOI":"10.1016\/j.jcot.2015.09.003","article-title":"Clinical evaluation of post-operative analgesia comparing suprascapular nerve block and interscalene brachial plexus block in patients undergoing shoulder arthroscopic surgery.","volume":"7","author":"Kumara","year":"2016","journal-title":"J Clin Orthop Trauma."},{"key":"B4","doi-asserted-by":"publisher","first-page":"1676","DOI":"10.1177\/0363546516667906","article-title":"Pain management after outpatient shoulder arthroscopy: a systematic review of randomized controlled trials.","volume":"45","author":"Warrender","year":"2017","journal-title":"Am J Sports Med."},{"key":"B5","doi-asserted-by":"publisher","first-page":"511","DOI":"10.12968\/hmed.2017.78.9.511","article-title":"Postoperative analgesia for shoulder surgery.","volume":"78","author":"Desai","year":"2017","journal-title":"Br J Hosp Med."},{"key":"B6","doi-asserted-by":"publisher","first-page":"79","DOI":"10.1016\/j.jclinane.2016.03.064","article-title":"New technique targeting the C5 nerve root proximal to the traditional interscalene sonoanatomical approach is analgesic for outpatient arthroscopic shoulder surgery.","volume":"34","author":"Dobie","year":"2016","journal-title":"J Clin Anesth."},{"key":"B7","doi-asserted-by":"publisher","first-page":"839","DOI":"10.1097\/aln.0000000000003132","article-title":"Subomohyoid anterior suprascapular block versus interscalene block for arthroscopic shoulder surgery: a multicenter randomized trial.","volume":"132","author":"Abdallah","year":"2020","journal-title":"Anesthesiology."},{"key":"B8","doi-asserted-by":"publisher","first-page":"98","DOI":"10.1002\/jrsm.1044","article-title":"Consistency and inconsistency in network meta-analysis: concepts and models for multi-arm studies.","volume":"3","author":"Higgins","year":"2012","journal-title":"Res Synth Methods."},{"key":"B9","doi-asserted-by":"publisher","first-page":"777","DOI":"10.7326\/m14-2385","article-title":"The PRISMA extension statement for reporting of systematic reviews incorporating network meta-analyses of health care interventions: checklist and explanations.","volume":"162","author":"Hutton","year":"2015","journal-title":"Ann Intern Med."},{"key":"B10","doi-asserted-by":"publisher","first-page":"669","DOI":"10.1111\/j.1398-9995.2009.01973.x","article-title":"Grading quality of evidence and strength of recommendations in clinical practice guidelines. 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