Characteristics of included studies
Reference | Country | Study design | Study setting | Participants | Intervention | Control | Follow-up duration | Primary outcome measure | Secondary outcome measures |
Vahidi et al 32 | Iran | Double-blind parallel RCT | Emergency department of tertiary referral centre | n=40 (20 intervention, 20 control) | Lidocaine: lidocaine solution (2 mg/kg) intravenous over 5 min | Morphine solution (0.1 mg/kg) intravenous over 5 min | Assessed before, 15 and 30 min after initiation of infusion | VAS (0–10) | None |
Morris-Stiff et al 35 | Wales, UK | Prospective observational study (pilot study) | Outpatients under vascular surgery team | n=20 (consecutive patients) 17 completed study | Gabapentin: 300 mg daily, titrated to 300 mg three times a day within 3 days Increased to 600 mg three times a day as indicated | None | Assessed at baseline, 4, 7, 14, 28 days or until surgical intervention or death | VAS (0–10) | Night pain score, opioid requirements |
Aurilio et al 36 | Italy | Open-label randomised trial | Surgical outpatients in a tertiary referral centre | n=86 (44 intervention, 42 control) | Buprenorphine (35 µg/hour) patch+epidural infusion of ropivacaine/morphine (200 mg+2 mg) | Placebo patch+epidural infusion of ropivacaine/morphine (200 mg+2 mg) | 4 weeks with twice weekly contact by researcher | VAS (0–100) | Short-Form McGill Pain Questionnaire, sleep quality, morphine requirements, patient satisfaction, psychobehavioural evaluation (Hamilton Scale) |
Aurilio et al 28 | Italy | Open-label randomised trial | Patients under vascular surgery awaiting surgery | n=43 (22 intervention, 21 control) | Buprenorphine (35 µg/hour) patch+epidural 100 mL of ropivacaine (2 mg/mL) and 2 mg of morphine at 4 mL/hour | Epidural 100 mL of ropivacaine (2 mg/mL) and 2 mg of morphine at 4 mL/hour rate | 30-day observation period | VAS (0–100) | Hours of sleep, adjustment of spinal dose of morphine |
Mitchell and Fallon33 | Scotland, UK | Double-blind placebo controlled RCT | Patients under the care of vascular surgery | n=35 (20 male, 15 female) 7 withdrew so final analysis: 16 intervention, 12 placebo | Ketamine: intravenous ketamine 0.6 mg/kg in 0.9% saline over 4 hours | Intravenous placebo (0.9% saline) over 4 hours | Assessed at entry to study, prior to infusion, 24 hours after infusion and on average 5 days postinfusion | Brief Pain Inventory | Opioid requirements, presence of allodynia/hyperpathia/hyperalgesia |
Persson et al 34 | Sweden | Crossover, double-blind RCT | All referred from vascular surgery | n=8 | Ketamine: racemic ketamine hydrochloride 0.15, 0.3, 0.45 mg/kg intravenous over 5 min | Morphine-hydrochloride 10 mg intravenous over 5 min | VAS scores at 2.5, 5, 10, 20, 30, 40, 50 and 60 min | VAS (0–10) | None |
RCT, randomised controlled trial; VAS, visual analogue scale.