Does regional anaesthesia improve outcome?

Slides:



Advertisements
Similar presentations
T. Tedore  British Journal of Anaesthesia 
Advertisements

Pregabalin reduces postoperative opioid consumption and pain for 1 week after hospital discharge, but does not affect function at 6 weeks or 3 months.
Benefits and risks of epidural analgesia in cardiac surgery†
Functional walking capacity as an outcome measure of laparoscopic prostatectomy: the effect of lidocaine infusion  S. Lauwick, D.J. Kim, G. Mistraletti,
R. Kaw, F. Chung, V. Pasupuleti, J. Mehta, P.C. Gay, A.V. Hernandez 
Intraoperative hypotension and delirium after on-pump cardiac surgery†
Pregabalin and pain after total knee arthroplasty: a double-blind, randomized, placebo- controlled, multidose trial†  J.T. YaDeau, Y. Lin, D.J. Mayman,
Spinal cord protection in aortic endovascular surgery
Parkinson's disease and anaesthesia
Lidocaine use in ultrasound-guided femoral nerve block: what is the minimum effective anaesthetic concentration (MEAC90)?†  A.M. Taha, A.M. Abd-Elmaksoud 
Optimizing oxygenation and intubation conditions during awake fibre-optic intubation using a high-flow nasal oxygen-delivery system  S. Badiger, M. John,
Heat stroke: implications for critical care and anaesthesia
Dexamethasone alone vs in combination with transcutaneous electrical acupoint stimulation or tropisetron for prevention of postoperative nausea and vomiting.
Triaging the right patient to the right place in the shortest time
Postoperative pulmonary complications
Measuring acute postoperative pain using the visual analog scale: the minimal clinically important difference and patient acceptable symptom state  P.S.
R.S. Bondok, A.M. Abd El-Hady  British Journal of Anaesthesia 
J.-Y. Hwang, H.-S. Na, Y.-T. Jeon, Y.-J. Ro, C.-S. Kim, S.-H. Do 
R.J.Ni Mhuircheartaigh, R.A. Moore, H.J. McQuay 
Comparative evaluation of the visibility and block characteristics of a stimulating needle and catheter vs an echogenic needle and catheter for sciatic.
Neuromuscular blocking effects of cisatracurium and its antagonism with neostigmine in a canine model of autosomal-recessive centronuclear myopathy  M.
A rational approach to fluid therapy in sepsis
Epidural infusion or combined femoral and sciatic nerve blocks as perioperative analgesia for knee arthroplasty†  Davies A.F. , Segar E.P. , Murdoch J.
Postoperative pain after hip fracture is procedure specific
K.P. Mason  British Journal of Anaesthesia 
Preoperative supplementation with fibrinogen concentrate in cardiac surgery: A randomized controlled study  A. Jeppsson, K. Waldén, C. Roman-Emanuel,
Monitoring and delivery of sedation
Raised serum cardiac troponin I concentrations predict hospital mortality in intensive care unit patients†  T. Reynolds, M. Cecconi, P. Collinson, A.
Measuring quality of recovery-15 after day case surgery
Block of postjunctional muscle-type acetylcholine receptors in vivo causes train-of-four fade in mice  M. Nagashima, T. Sasakawa, S.J. Schaller, J.A.J.
C. Cozowicz, J. Poeran, S.G. Memtsoudis  British Journal of Anaesthesia 
J.B. Whiteside, D Burke, J.A.W. Wildsmith 
Malignant hyperthermia: pharmacology of triggering
Continuous spinal anaesthesia and non-invasive ventilation for total knee replacement in a patient on home ventilation  J. Dawson, M. Jones, N. Hirschauer,
A. Abdelnasser, B. Abdelhamid, A. Elsonbaty, A. Hasanin, A. Rady 
Saliva cyclic GMP increases during anaesthesia
V. Uppal, G. Fletcher, J. Kinsella  British Journal of Anaesthesia 
G. Park, M. Lane, S. Rogers, P. Bassett  British Journal of Anaesthesia 
Procalcitonin, interleukin 6 and systemic inflammatory response syndrome (SIRS): early markers of postoperative sepsis after major surgery  D Mokart,
Pharmacogenetics of codeine metabolism in an urban population of children and its implications for analgesic reliability  D.G. Williams, A. Patel, R.F.
Neuraxial vs general anaesthesia for total hip and total knee arthroplasty: a systematic review of comparative-effectiveness research  R.L. Johnson, S.L.
Is postspinal hypotension a sign of impaired cardiac performance in the elderly? An observational mechanistic study  J. Jakobsson, S.H. Kalman, M. Lindeberg-Lindvet,
Analgesia and functional outcome after total knee arthroplasty: periarticular infiltration vs continuous femoral nerve block  F Carli, A Clemente, J.F.
POSSUM scoring for patients with fractured neck of femur†
Recovery after total intravenous general anaesthesia or spinal anaesthesia for total knee arthroplasty: a randomized trial†   A Harsten, H Kehlet, S Toksvig-Larsen 
M. A. Levin, G. W. Fischer, H. -M. Lin, P. J. McCormick, M. Krol, D. L
Differential modulation of interleukin‐6 and interleukin‐10 by diclofenac in patients undergoing major surgery  A.M. Mahdy, H.F. Galley, M.A. Abdel‐Wahed,
Chronic pain in adults after thoracotomy in childhood or youth
Effectiveness of platelet inhibition on major adverse cardiac events in non-cardiac surgery after percutaneous coronary intervention: a prospective cohort.
Recovery of fibrinogen after administration of fibrinogen concentrate to patients with severe bleeding after cardiopulmonary bypass surgery  C. Solomon,
Sustained effect of spinal cord stimulation on pain and quality of life in painful diabetic peripheral neuropathy  R. Slangen, W.A. Pluijms, C.G. Faber,
P. Fogarty Mack  British Journal of Anaesthesia 
Pregabalin has an opioid-sparing effect in elderly patients after cardiac surgery: a randomized placebo-controlled trial  A. Pesonen, R. Suojaranta-Ylinen,
Rare event research: is it worth it?
Dose ranging study on the effect of preoperative dexamethasone on postoperative quality of recovery and opioid consumption after ambulatory gynaecological.
Postoperative analgesic effect of intravenous (i. v
R. Badenes, F. Bilotta  British Journal of Anaesthesia 
Are perioperative therapeutic doses of statins associated with postoperative pain and opioid consumption after hip surgery under spinal anaesthesia? 
Development and validation of a preoperative scoring system to predict 30 day mortality in patients undergoing hip fracture surgery  M.J. Maxwell, C.G.
Suspected opioid-induced hyperalgesia in an infant
S. Radhakrishna  British Journal of Anaesthesia 
A randomized trial of the effect of low dose epinephrine infusion in addition to tranexamic acid on blood loss during total hip arthroplasty  Ø. Jans,
Use of a high-fidelity simulator to develop testing of the technical performance of novice anaesthetists†   F.C. Forrest, M.A. Taylor, K. Postlethwaite,
Fibrinogen plasma concentration before delivery is not associated with postpartum haemorrhage: a prospective observational study  O. Karlsson, A. Jeppsson,
Effects of magnesium sulphate on intraoperative neuromuscular blocking agent requirements and postoperative analgesia in children with cerebral palsy 
Takamatsu I. , Ozaki M. , Kazama T.   British Journal of Anaesthesia 
Additional femoral catheter in combination with popliteal catheter for analgesia after major ankle surgery  S Blumenthal, A Borgeat, C Neudörfer, R Bertolini,
Epinephrine and clonidine do not improve intrathecal sufentanil analgesia after total hip replacement†  R. Fournier, E. Van Gessel, A. Weber, Z. Gamulin 
Analgesia for day-case surgery†
Nottingham Hip Fracture Score as a predictor of one year mortality in patients undergoing surgical repair of fractured neck of femur  M.D. Wiles, C.G.
Presentation transcript:

Does regional anaesthesia improve outcome? P.M. Hopkins  British Journal of Anaesthesia  Volume 115, Pages ii26-ii33 (December 2015) DOI: 10.1093/bja/aev377 Copyright © 2015 The Author(s) Terms and Conditions

Fig 1 Box plot of the difference in knee-flexion degrees from baseline during the immediate postoperative period and long-term follow-up. D, day; M, month. The horizontal line represents the median value, the boxes are the interquartile range, and the whiskers are the 10th and 90th percentile range. †Significantly greater knee flexion at day 1 (P=0.001), day 2 (P=0.006), and month 1 (P=0.04) in subjects receiving femoral nerve analgesia when compared with the opioid analgesic group. At the 6 and 12 months follow-up, subjects receiving continuous femoral analgesia demonstrated a gain of 5° in knee flexion compared with the opioid analgesic group (P=0.42 and P=0.10, respectively). Reproduced with permission from Wiley.13 British Journal of Anaesthesia 2015 115, ii26-ii33DOI: (10.1093/bja/aev377) Copyright © 2015 The Author(s) Terms and Conditions

Fig 2 Kaplan–Meir survival curve of patients having repair of fractured neck of femur under general anaesthesia or spinal anaesthesia. Reproduced with permission from Elsevier.16 British Journal of Anaesthesia 2015 115, ii26-ii33DOI: (10.1093/bja/aev377) Copyright © 2015 The Author(s) Terms and Conditions