Acta anaesthesiologica Scandinavica
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Acta Anaesthesiol Scand · Nov 2016
Review Randomized Controlled Trial Comparative StudyPost-operative analgesia using intermittent vs. continuous adductor canal block technique: a randomized controlled trial.
Intermittent boluses for neural blockade provide better post-operative analgesia when compared to continuous infusion. However, these techniques of administration have not yet been compared while performing adductor canal block (ACB). We compared intermittent vs. continuous ACB for managing post-operative pain following anterior cruciate ligament (ACL) reconstruction. The primary endpoint was total morphine consumption for 24 h post-operatively in both the groups. Secondary outcomes included evaluation of pain scores and opioid-related side effects. ⋯ Intermittent ACB allowed significantly reduced consumption of morphine for 24 h in the post-operative period compared with continuous ACB when identical doses of ropivacaine were used in each group.
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Acta Anaesthesiol Scand · Nov 2016
Randomized Controlled TrialNo convincing association between post-operative delirium and post-operative cognitive dysfunction: a secondary analysis.
Post-operative delirium and post-operative cognitive dysfunction (POCD) are both common but it has not been clarified how closely they are associated. We aimed to assess the possible relationship in a secondary analysis of data from the 'Surgery Depth of anaesthesia and Cognitive outcome'- study. ⋯ There is no clear evidence that postoperative delirium is independently associated with POCD up to 3 months.